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Walter Lucero 12/31/2013 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: (3051673-7254 04-30-2012 Walter Lucero 919 Michigan Ave. #2 Miami Beach, Florida 33139 S_UBJECT ,' 1, Police Citizens Relations Committee Congratulations! You have been appointed by Commissioner Deede Weithorn to the agency, board or committee named above for a term ending: 12131/2013. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1, 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, Rafael E. Granado City Clerk cc: Saul Frances, Parking Director 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, 2-458 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. m MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.aov I OFFICE OF THE CITY CLERK, Robert Parcher,City Clerk Tel: (305)673-7411, Fax: (305)673-7254 TO Walter Lucero 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 appoint 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 an Code of Ethics Ordinance), as well as the Florida Commission on Ethics Guide to the Sunshine Amend- ment and Code of Ethics for Public Officers and Employees, and understand that as a member of a Cit of Miami Beach Board and/or Committee, I must comply with the financial disclosure*requirements of Miami-Dade County or ithe State of Florida (depending on the board or committee on which I serve)on July 1,following the closing of the calendar year on which I h sery . Wa r Lucero Sworn to and subscribed before me thi �ce ay of , 2012. 0 Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Comm for additional information regarding the Financial Disclosure Requirement 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 1, BOARD/, / AND COMMITTEE APPLICATION FORM NAME: !l U C2rr D 1��a 14c , ) Last Name First Name� Middle Initial /QI � HOME ADDRESS: � !N 41, -� I o ml Apt No. House No./Stpbet City State Zip Code PHONE: I UCProW (cuQr�yIC1/� Gy�,,l Home// ' ^ //''Work Fax Email address Business Name: We/C A-e_.-f eea-1 b, ;4,gy-f Positio�n1 �Q/�S'�CC-&— 6f5S0 Cr. Address: 2l q5- Co 11 /nS Ave /�/(aM/ 6eaC6 t"�k_ 33P No. Street City State Zip Code Professional License(describe) Q/ SfG` Expires: Attach a copy of the license 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❑or No ❑ • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months:Yes❑or No ❑ •Are you a registered voter in Miami Beach: Yes ❑or No ❑ • (Please circle one): I am now a resident of: North Beach South Beach Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: •Are you presently a registered lobbyist with the City of Miami Beach?Yes❑or No ❑ Please list your preferences in order of ranking [1]first choice [2]second choice, and [3]third choice. Please note that only three(3) choices will be observed by the City Clerk's Office. (Regular Boards of City) ❑Affordable Housing Advisory Committee ❑ Historic Preservation Board ❑Art in Public Places Committee ❑ Housing Authority ❑ Beautification Committee ❑ Loan Review Committee ❑ Board of Adjustment* ❑Marine Authority ❑ Budget Advisory Committee ❑Miami Beach Commission for Women ❑Capital Improvements Projects Oversight Committee D Miami Beach Cultural Arts Council ❑Committee on the Homeless ❑Miami Beach Human Rights Committee ❑Committee for Quality Education in MB I Miami Beach Sister Cities Program ❑Community Development Advisory ❑Normandy Shores Local Government Neigh. Improvement ❑Community Relations Board Parks and Recreation Facilities Board ❑Convention Center Advisory Board ❑Personnel Board ❑ Debarment Committee ❑ Plannin Board* ❑Design Review Board* Police Citizens Relations Committee ❑ Disability Access Committee ❑ Production Industry Council ❑Fine Arts Board ❑ Safe Committee ❑Gay, Lesbian, Bisexual and Trans ender GLBT ❑Single Family Residential Review Panel D Golf Advisory Committee ❑Sustainability Committee ❑Health Advisory Committee ❑Transportation and Parking Committee ❑ Health Facilities Authority Board ❑Visitor and Convention Authority ❑Hispanic Affairs Committee ❑Waterfront Protection Committee ❑Youth Center Advisory Board *Board Required to File State Disclosure Form 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:Yes❑No❑ Years of Service: 2. Present participation in Youth Center activities by your children Yes❑ No ❑. If yes, please list the names of your children, tgeif ages, and which programs. List below: �,� �, •'' Child's name: Age: Program: Child's name: Age: Program: ` e -� FACLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application.doc APR2 SCd nned �� *Have you ever been convicted of a felony: Yes ❑or NO/if yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes ❑or No 1'. If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes❑or No I/ If yes, explain in detail •Are you currently serving on any City Boards or Committees: Yes❑or No/ If yes; which board? •What orggani/zations in the City of Miami Beach do you currently hold membership in? Name: ( %T/ _e l-iS ?D1/GQ �(G��,� Title: (J�' Q Name: C'il�4-,anl.9mrTitle: I1) P,411 W AP.r • List all prop rties 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: Yes ❑or No,�f.Which department? • Pursuant to City Code Section 2-2S(b): Do you have a parent❑, spouse❑, child❑, brother❑, or sister❑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: d Male ❑ Female Ethnic Origin: Check one only(1) ❑White (Not of Hispanic Origin):All persons having origins in any of the original peoples of Europe,North Africa or the Middle East. ❑ African-American/Black (Not of Hispanic Origin):All persons having origins in any of the Black racial groups of Africa. ,P'Rispanic: All persons of Mexican,Puerto Rican,Cuban,Central or South American,or other Spanish culture or origin,regardless of race. ❑Asian or Pacific Islander:All persons having origins in any of the original peoples of the Far East,Southeast Asia,the Indian Subcontinent,on the Pacific Islands. This area includes,for example,China,India,Japan,Korea,the Philippine Islands and Somoa. ❑American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America,and who maintain Cultural identification through tribal affiliation or community recognition. Physically Challenged: Yes 0 or No❑. Employment Status: Employed V Retired❑ Homemaker❑ Other❑ 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: o Prohibition from directly or indirectly lobbying city personnel(Miami Beach City Code section 2-459). o Prohibition from contracting with the city(Miami-Dade County Code section 2-11.1). o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach City Code section 2-26). o 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 st to racy and truthfulness of the application and have received, read and will abide by Chapter 2, Article e y de"Standards of Conduct for City Officers,Employees and Agency Members." 42-4.- ,O a1�f-��c-Q-rC A lica — Date Name of Applicant(PLEASE PRINT) Re eived in the City Clerk's Office by: Date:_/ /2010 Control No. Date:�/_v Name of De ty Clerk r Walter J. Lucero 919 Michigan Ave. Apt. 2 Miami Beach, Florida 33139 305-613-3626 lucerow7 @gmail.com EXPERIENCE Telentundo Studio Miami, Doral, FL 10108-02109 Intern • Production assistant, props, scenery, talent coordinator, editing, sound, lights, camera, wardrobe, and assistant floor manager for the telenovela"El Rostro de Analia" • Photographer for "Lazos de Esperanza " (Lorena Rojas) • Talent Coordinator Assistant for casting for upcoming telenovela"Mas Saber el Diablo' Bullrich Corporation, Miami, FL 01105-02106 Real Estate Photographer • Responsible for the photography of real estate developments to be featured on company website • Duties included structural and interior photographs of newly contracted developments Perfect Vision Media Group, Miami Beach, FL 10104-12104 Contributing Staff Photographer • Responsible for coverage of social events throughout Miami Dade and Broward counties • Sent to cover events such as MTV Video Music Awards, MTV Latino Music Awards, Playboy Party, Harley Davidson Party, Marquis Jet, White Party 2004 • Photographs Published in Lincoln Road Magazine, Las Olas Magazine and Yachtsmen Magazine Zoonr Media Group, Miami Beach, FL 11104-12104 Contributing Staff Photographer • Responsible for coverage of social events throughout Miami Dade County. • Sent to cover events such as Vista BMW Grand Opening,NBA and Verb-Jose Marti Park reopening • Photographs published in LOFT magazine EDUCATION Miami International University of Art& Design, Miami, FL, 2007-2011 Bachelor of Science in Visual Effects and Motion Graphics Miand Dade College, Miami, FL, November 2004 Photography Universidad National de San Luis, San Luis, Argentina, June 1997 Commercial Bachelors Degree LANGUAGES • Spanish, English, and Italian SKILLS • 3Ds Max, Avid, Cinema 4D, Adobe Creative Suite 4 Master Collection, Illustrator, After Effects, Microsoft XP, Macintosh, Internet Research MIAM I BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www miam16eachfl.aov OTY CLERK Office CityClerk @m i am1beachfl.gov Tel: 305.673.741 1 , Fax:305.673.7254 Acknowledgement of fines/suspension for Board Mern bers for failure to comply with Miami-Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2) Board Member name: 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-wi h 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 fife, according to the Miami Dade.County Code Chapter 1, General Provision, Section 1-5 may subject the person or firm to a fl ne not to exceed $500.00 or by imprisonment in the county jail for a period not to exceed sixty days, or both. Signature D te: M I A M FDADE SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name/Initial Last Name Disclosure T For Tax Year Name: VVa UC r U I-L) W-0 Ending Mailing Address: I I b s �t� City/State/Zip: I(a4 { Social Security Number: Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: Board where serving:QD� Term or Employment Began on: Cc►-r,)ny) 44i-�,e Department where employed: Work Address: q If your home address is exempt from public records pursuant to Florida Statutes§119.07 please check here(read instructions): ® Work Telephone: Home Address: SaaAk Os abov 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 of Source of Income Address Business Activity i C� . �5+� `7 I IfS o 11 in a I hereby swear(or affirm)that the aforesaid information is a true and correct statement.�n('O Z 6W WM rso isclosing ba#sigiied