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Solomon Genet 12/31/2012 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) 673-741 1, Fax: (305) 673-7254 01-19-2012 Solomon Genet 4310 N. Michigan Ave. Miami Beach, Florida 33140 UBJECT Community Relations Board Congratulations! You have been appointed by Commissioner Jerry Libbin to the agency, board or committee named above for a term ending: 12/3112012. 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, p "2//3 Robert Parcher City Clerk cc: Saul Frances, Parking Director Lynn Bernstein 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 safely to all 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.miamibeachll.aov OFFICE OF THE CITY CLERK, Robert Parcher,City Clerk Tel: (305)673-7411,Fax: (305)673-7254 TO Solomon Genet RE: Community 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 comply with the financial disclosure*require- ments of Miami-Dade County or the State of Florida (depending on the oard or committee on which 1 serve)on July 1st,following the closing of the calendar year on w 'c I haves ed. Solotnon �JGenet Sworn to and subscribed before me this day of F1 Rf� , 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 are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical,historic community. MI® SOUR-CE OF INCOME STATEMENT Please.Print.or Type First Dame Middle Name Initial Last Name Disclosure For Tax Year (dame: Endin%�ZL / C� Mailing Address: �l v AI— 1 city/state/Zip: Social.Security Number: Filing as a: ® County Employee: ® Municipal Employee of: position held or sought: Board where serving• ��/� I �A �19 Term or:Employment .Began on: Department wihem employed: Work Address: If your home address is exempt from public records pursuant bo WOrIC Telephone: Florida Statutes§119.07 please check here(read instructions); Home Address: - Street Address City State. Zip Code Please lest below in descending order with the largest source first, the rsame, 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 Nanne of Source of Income 77 Address Business Activi I�JG A � S tJ [c,�, I hereby sw r ) that the aforesaid information is.a true and correct statement. /t / .Signature of person disclosing to s' ned 90 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, v✓ww.miamibeachfl.aov CITY CLERK Office - CityClerk @miamibeachfl.gov Tel: 305.673.741 1 , Fax: 305.673.7254 Acknowledgement of finestsuspension for Board Mernbers for failure to comply with Miami-Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2) Board Member name. // )'!'I ),r 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.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 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 f le, 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. Signs e: ❑te: