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Jennifer Diaz 12/31/2012 ® 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 03-19-2012 Jennifer Diaz a. �SIJBJECT��� Miami Beach Sister Cities Program Congratulations! You have been appointed by Mayor Matti Herrera Bower to the agency, board or committee named above for a term ending: 12/31/2012° Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1 st, 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, Robert Parcher City Clerk cc: Saul Frances, Parking Director Diana Fontani 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. IM 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 Jennifer Diaz RE: Miami Beach Sister Cities Program 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: 12/31/2012. 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 1 st,following the closing of the calendar year on which I have served. Jen fifer iaz Sworn to and subscribed before me this4c l day of (V10.rU,� 2012. Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachf.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. P MIAMI BEACH NAME: Diaz Jennifer Last Name First Name Middle Initial HOME ADDRESS: 308 1228 West Ave Miami Beach FL 33139 Apt No. Home No./Street City State Zip Code PHONE: 3057243281 3052601053 idiaz@becker-poliakoff.com Home Work Fax Email Address Business Name: Becker&Pollakoff Position: Senior Attorney Address: 121 Alhambra Plaza Coral Gables FL 33134 No. Street City State Zip Code Professsional License(describe): Florida Bar Expires: Neverl Aftach a copy tare 17cof?se Pursuant to City Code section 2-22(4)a and b: Members of agencies, boards,and committees shall be affiliated with the city;this requirement shall be fulfilled in the following ways:a)an individual shall have been a resident of the city for a minimum of six months;or b)an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. • Resident of Miami Beach for a minimum of six(6)months: Yes • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months: No •Are you a registered voter in Miami Beach: Yes • (Please circle one): I am now a resident of: South Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: International Trade Attorney since 2006,represent international businesses,active in internati •Are you presently a registered lobbyist with the City of Miami Beach? No Pleas-e list your preferences in order of ranking [1]first choice[2]second choice,and[3]third choice. Please note that only three 131 choices will be observed by the City Clerk's Office.(Regular Boards of City) Affordable Housing,Advisory Committee Housing Authority Art in Public Places Committee Loan Review Committee Beautification Committee Marine Authority Board of Adjustment* [2] Miami Beach Commission for Women Budget Advisory Committee Miami Beach Cultural Arts Council Capital Improvements Projects Oversight Committee Miami Beach Human Rights Committee Committee for Quality Education in MB [1] Miami Beach Sister Cities Program Committee on the Homeless Normandy Shores Local Gov't Neigh.Improvement Community Development Advisory Parks and Recreation Facilities Board Community Relations Board Personnel Board Convention Center Advisory Board Planning Board* Debarment Committee Police Citizens Relations Committee Design Review Board* Production Industry Council Disability Access Committee Safety Committee Fine Arts Board Single Family Residential Review Panel Gay,Lesbian,Bisexual and Transgender(GLBT) Sustainability Committee Golf Advisory Committee Transportation and Parking Committee Health Advisory Committee [3] Visitor and Convention Authority Health Facilities Authority Board Waterfront Protection Committee Hispanic Affairs Committee Youth Center Advisory Board Historic Preservation Board Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: No Years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children,their ages,and which programs. List below: Child's name: Age: Program: Child's name: Age: Program: o Ha-ie you ever been convicted of a felony: No If yes, please explain in detail: • Do you currently have a violation(s)of City of Miami Beach codes: No If yes, please explain in detail: • Do you currently owe the City of Money Beach any money: No If yes,please explain in detail: •Are you currently serving on any City Boards or Committees: No If yes,which board? •What organizations in the City of Miami Beach do you currently hold membership in? Name: Title: Name: Title: • List all properties owned or have an interest in,which are located within the City of Miami Beach: • I am now employed by the city of Miami Beach: No Which department? •Pursuant to City code Section 2-25(b):do you have a relative who is employed by the City of Miami Beach?Check all that apply. Identify the department(s): The following information is voluntary and Is neither part of your application nor has any bearing on your consideration for appointment. It is being asked to comply with federal equal opportunity reporting requirements. Gender: Female Ethnic Orgin: Check one only(1) Physically Challenged: No Employment Status: Employed NOTE: If appointed,you will be required to follow certain laws which apply to city board/committee members. These laws include,but are not limited to,the following: • Prohibition from directly or indirectly lobbying city personnel(Miami Beach City Code section 2-459). • Prohibition from contracting with the city(Miami-Dade County Code section 2-11.1). • Prohibition from lobbying before board/committee you have served on for period of one year after leaving office(Miami Beach Code section 2-26). • Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1). (re:CMB Community Development Advisory Committee): prohibition,during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties(CFR 570.611). Upon request,copies of these laws may be obtained from the City Clerk. "I hereby attest to the accuracy and truthfulness of the application and have received,read and will abide by Chapter 2,Article VII—of the City Code"Standards of Conduct for City Officers,Employees and Agency Members." I Jennifer Diaz agreed to the following terms on 2/2/2012 7:52:18 PM Received in the City Clerk's Office by: Date: o12 Control No. Date: /2012 e of Deputy berk JENNIFER DIAZ 1228 West Avenue, Miami Beach, FL 33139 • (305) 724-3281 •JDJD06 @aol.com BAR MEMBERSHIP/ • The Florida Bar COURT ADMISSION • United States District Court; Southern District • United States Court of International Trade EXPERIENCE BECKER & POLIAKOFF, P.A., Fort Lauderdale, FL SENIOR ASSOCIATE April 2009- Present • Successfully assist importers and exporters in complying with U.S. federal government regulations. • Assist companies in successfully petitioning the U.S. Food and Drug Administration (FDA) to have their company removed from the Import Alert List where goods are automatically detained upon importation • Successfully assist companies in working with U.S. federal government agencies to expedite release of time sensitive cargo • Successfully assist an importer in having 2.5 million dollars worth of detained merchandise regulated by the FDA released within 2 business days • Submit Ruling Requests to U.S. Customs and Border Protection on classification, country of origin and U.S. Harmonized Tariff Schedule issues • Draft complaints to the Court of International Trade(CIT) • Successfully resolve numerous CBP seizure cases • Successfully assist clients in substantially mitigating penalties,fines and liquidated damage claims received from CBP. • Successfully assist in clients during the course of an audit by the Alcohol, Tobacco Tax and Trade Bureau (TTB) • Frequent participant and Board member of firm committees; Women in Law Leadership (WILL), Associates Advisory Group (AAG), LEAD Diversity Group. KPMG, LLP,Miami, Florida SENIOR ASSOCIATE September 2008—April 2009 • Analyze and implement pertinent Food and Drug Administration (FDA) requirements for various medical device products. • Draft Petitions for mitigation of Liquidated Damages incurred for failure to export or destroy FDA refused merchandise. • Analyze the Harmonized Tariff Schedules of the United States (HTSUS) and the Venezuelan Tariff Schedule to determine appropriate tariff classifications. • Draft Memorandum in Support of Protest to U.S. Customs and Border Protection (CBP) requesting re-liquidation of entries. • Organize and draft import policies and procedures manual. • Spearhead FDA promotion of services by drafting and implementing a FDA slip sheet to alert clients of FDA service offerings. • Analyze new Other Government Agency(OGA) regulations such as The Lacey Act, Consumer Product Safety Improvement Act (CPSIA), and the Dingell Bill and draft synopsis's to alert clients to new OGA requirements". • Assist in implementing CPSIA compliance for importers. Create product databases, analyze CPSIA regulations, and draft letters to suppliers. BECKER & POLIAKOFF, P.A., Fort Lauderdale, FL ASSOCIATE September 2006—September 2008 LAW CLERK January 2006—May 2006 • Represented food, cosmetic, over the counter drug, and medical device manufacturers and importers in FDA compliance. Lead Attorney in FDA Drug Recall case. • Represented importers and customs brokers in communicating and Jennifer Diaz, 2 of 3 responding to CBP. Successfully represented importers in seizure, liquidated damages, and penalties cases. Drafted Petitions, Supplemental Petitions, Prior Disclosures, Scope Ruling Requests, Classification Ruling Requests (NY M80386), Freedom of Information Act Requests, and responded to CBP Requests for Information. • Successfully completed C-TPAT applications, bonded warehouse applications, and recorded trademarks and copyrights with CBP. • Substantially mitigated penalties assessed from the Office of Foreign Assets Control (OFAC) for alleged violations of Cuban Embargo. Successfully obtained Miami-Dade Aviation Department badges for employees to permit access to secure cargo area. Represented an alcohol importer in applying for an importer permit with the Alcohol and Tobacco Tax and Trade Bureau (TTB). • Frequent participant and Board member of firm committees; Women in Law Leadership (WILL), Associates Advisory Group (AAG), LEAD Diversity Group. EDUCATION NOVA SOUTHEASTERN UNIVERSITY, FORT LAUDERDALE, FL Juris Doctor,May 2006 Honors& Activities: • Pro Bono Honor Program, Gold Level; Broad Fellowship Program • Guardian Ad Litem, Juvenile Mediation Program,Street.Law Student Teacher, Jewish Law Student Association Secretary, Florida Association of Women Lawyers, ABA Student Member. UNIVERSITY OF MIAMI, CORAL GABLES, FL Bachelor of Science, May 2003 Double Major: Public Relations and Photography, Minor: Business Administration Honors & Activities: • Provost Honor Roll — Dean's List, Ev Clay Endowment Scholarship, Biography in "The National Dean's List, 2001-2002," Featured on University of Miami's prospective student's website. • Public Relations Student Society of America, Vice President of Programming, Funday Executive Board, The Miami Hurricane and Ibis Yearbook Photographer. PROFESSIONAL • Organization of Women in International Trade, Immediate Past President AFFILIATIONS and OW IT International Representative 2012-2013, President 2010-2011, Treasurer 2007-2009, Board of Directors 2006-2009 Elected to Miami Council for International Visitors' Board of Directors, 2012 • Appointed to American Bar Association, International Section, Young Lawyers Network, Vice-Chair, 2010-2012 • Appointed to American Bar Association, International Section, Customs Committee, Steering Group, 2010-2012 • Appointed to American Bar Association, International Section, International Trade Committee, Steering Group, 2010-2012 • Florida Customs Brokers & Forwarders Association, Customs Committee 2010-2011, Education Committee 2009-2011, Membership Committee, 2006-2008 • Florida Bar, International Law Section, Meetings Co-Chair, 2011-2012 • Greater Miami Chamber of Commerce, Leadership Miami Graduate, 2010 • Cuban Hebrew Congregation, Board of Directors • Greater Miami Jewish Federation, Leadership Development Institute (LDI) Graduate ARTICLES/ • ''For$190 U.S. Customs Will Police Your Brand," The Florida Bar, PUBLICATIONS International Law Quarterly, Special China Edition, Fall 2010 • Co-Author, "U.S. Customs Seized My Merchandise:Now What?,"The Jennifer Diaz, 3 of 3 Florida Bar, International Law Section Quarterly, Spring/Summer 2010 Vol. XXV No. 1 • Co-Author, "For$190 U.S. Customs Will Police Your Brand,"China IP Magazine, Issue 36, April 25, 2010 • Author, "What Do Dental Floss, Bedpans, and Pacemakers Have in Common?" • Co-Author, "Why Record Trademarks and Copyrights with U.S. Customs?," International Law News, Spring 2007 Vol. 36 No. 2. • Co-Author, "U.S. Customs Cracks Down on "Gate Outs" • Author, "New Customs and FDA Procedures" PRESENTATIONS • Online Webinar, "Importing into the U.S. in Compliance with U.S. Customs and Border Protection,"Compliance Online,January 27, 2012. • Doral, Florida, "Expanding Your International Footprint," Presented by UPS and the Office of Economic Development and International Trade, November 8, 2011. • Fort Lauderdale, Florida, "Importing Food Products in Compliance with FDA," Presented by the Broward County Office of Economic and Small Business Development, September 21, 2011. • Fort Lauderdale, Florida, "2011 Export Readiness Seminar"- U.S. Regulations, Presented by the Broward County Office of Economic and Small Business Development, September 20,2011. • Orlando, Florida, "Using Technology and other Tactics to Grow Your Business Internationally,"Go For the Greens, September 16, 2011. • Miami, Florida, "Practical Tools for Trade in the Food Industry," Presented by the Office of Economic Development& International Trade of Miami-Dade County, September 7, 2011. • Miami Beach, Florida, "How to Effectively Resolve Typical U.S. Food and Drug Administration (FDA) and U.S. Customs and Border Protection (CBP) Issues for Medical Devices," FIME International Medical Expo — Miami Beach Convention Center, August 11, 2011. • Hollywood, Florida, "How to grow your business through International Trade," Regional Small Business Conference and Boot camp Presented by the City of Hollywood, Florida, May 19, 2011. • Tampa, Florida, "Complying With U.S. Export Controls, Fundamentals of the Export Administration Regulations (EAR) and the Foreign Trade Regulations (FTR)," Presented by the U.S. Commercial Service, March 22, 2011. • Miramar, Florida, "Health, Wealth and Entrepreneurship Women's Conference 2011," Entrepreneurship Track, Ana G. Mendez University System, March 10, 2011. • Miami, Florida, "FDA 2011 Update," Florida Customs Brokers and Forwarders Association (FCBF) Legal Seminar Series, February 2, 2011. • Miami Beach, Florida, "How to Effectively Resolve Typical U.S. Food and Drug Administration (FDA) and U.S. Customs and Border Protection (CBP) Issues for Medical Devices," FIME International Medical Expo — Miami Beach Convention Center, August 12, 2010. • Miami, Florida, "Alcohol and Tobacco Tax and Trade Bureau (TTB) Compliance and Best Practices," Florida Customs Brokers and Forwarders Association (FCBF) Legal Seminar Series, June 16, 2010. • Miami, Florida, "Importing Food Products in Compliance with FDA and U.S. Customs Rules," Becker &_ Poliakoff and the Jay Malina International Trade Consortium (ITC), June 3, 2010 • Tampa, Florida, "Free Trade Agreements," International Trade Certification Program of the Small Business Development Center at the University of South Florida, May 12, 2010 • Miami, Florida, "Importing into the United States for International Trade Professionals," Becker & Poliakoff and the Jay Malina International Trade Consortium (ITC), March 25, 2010 Jennifer Diaz, 4 of 3 • Miami, Florida, "FDA Imports:The Age of Enforcement," Florida Customs Brokers and Forwarders Association (FCBF) Legal Seminar Series, March 17, 2010. • Miami, Florida, "Environmental Protection Agency (EPA) & Department of Transportation (DOT) Vehicle& Engine Compliance and Best Practices," Florida Customs Brokers and Forwarders Association (FCBF) Legal Seminar Series, February 17, 2010. • Miami Beach, Florida, "How to Effectively Resolve Typical U.S. Food and Drug Administration (FDA) and U.S. Customs and Border Protection (CBP) Issues for Medical Devices," FIME International Medical Expo — Miami Beach Convention Center, August 14, 2009. • Miami, Florida, "What You Need to Know about Trademark and Copyright Enforcement by U.S. Customs," Florida Customs Brokers and Forwarders Association (FCBF) Legal Seminar Series,June 30, 2009. • Miami, Florida, Effectively Managing Global Trade, "New U.S. Food and Drug Administration (FDA) Billion Dollar Settlement; Is Your Company in Compliance,?"hosted by KPMG, LLC and OWIT-South Florida, Miami Free Zone, February 25, 2009. • Fort Lauderdale, Florida"Pathways to Employment in International Law," hosted by the ABA Section of International Law at Nova Southeastern University, Shepard Broad Law Center, Wednesday, January 21, 2009 • Miami, Florida, "Medical Devices, Pharmaceutical Substances, Wadding/Gauze/Bandages and Similar Articles—Classification and FDA Requirements,"Florida Customs Brokers and Forwarders Association (FCBF) Legal Seminar Series, November 13, 2008 • Online Webinar, 'Best Practice for the Importation of Medical Devices," Compliance Online, November 20, 2007 • Miami Beach, Florida, IFE Americas- 10th Americas Food and Beverage Show, FDA&You: Beverages Importing Regulations (Beverage: Energy& Functional), October 30, 2007 o Miami Beach, Florida, IFE Americas - 10th Americas Food and Beverage Show; FDA& You: Food Importing Regulations (Focus:Organics), October 29,2007 • Fort Lauderdale, Florida, "Customs and International Trade Legal Representation," Broward Community Collage, International Class, October 24,2007 • Orlando, Florida, "FDA AND YOUR FOOD SAFETY, Best Practices for Importing Food, Dietary Supplements, and Medical Devices," Florida Customs Brokers and Forwarders Association (FCBF), September 11, 2007 • Fort Lauderdale, Florida, "FDA AND YOUR FOOD SAFETY, Best Practices for Importing Food, Dietary Supplements, and Medical Devices," Florida Customs Brokers and Forwarders Association (FCBF), August 22, 2007 C Boca Raton, Florida, "International Trade Agreements and Regulations," Florida Atlantic Region of Hadassah, April 18, 2007 PRESS • MSNBC, A Second Chance for Faulty Food? FDA Calls it"Reconditioning," November 28, 2011, http://vitals.msnbc.msn.com/ news/2011/11/23/8982673-a-second-chance- for-faulty-food-fda-calls-it-reconditioning. AWARDS • 2012, Super Lawyers, Rising Stars List • 2011, latinbiz Women of Virtue Award M IAM I BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33 139, www.miamibeachfl.gov CITY CLERK Office CityClerk @miomibeachfl.gov Tel: 305.673.741 1 , Fax: 305.673.7254 Acknowledgement of fines/suspension for Board Men'bers for failure to comply with Miami-Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2) Board Member name: _TQ% N .fie f- A Z 1 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 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 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 Return 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 for a period not to exceed sixty days, or both. i" Signatur Date: M I A M I•DADE ® SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name/Initial Last Name Disclosure r For Tax Year Name: -3-0-VA V-\ 1k q Ending: Mailing Address: ti-e 30£3 City/State/Zip:, rA'ka+M etc t�, 3 Social Security Number: Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: Board where serving: Term or Employment Began on: Z Department where employed: Work Address: 1.21 (Ark 1-\,rn,vv, �.'K q9`U-�_-re, 1O� �°�� ; Cov-'a GaIo�CS , � 3313 If your home address is exempt from public records pursuant to Florida Statutes§119.07 please check here(read instructions): ® Work Telephone: Home Address: ?��� c r�P S A'1--C 3 Street Address �oI 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 Y— rb licci::�_L) ` F�rli,�c load L+(UW T eS Ck N4A,- t r f cp S I O I herQb s ar(or affirm) that the aforesaid information is a true and correct statement. Signa re of person disclosing Date signed