Laura Cullen 12/31/2013|
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City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida oulo9,
OFFICE OF THE CITY CLERK, Rafael Granada, City Clerk
Tel: (305)6r3-74l1' Fox: (3O5)6737254
O8-01-2O12
Laura Cullen
400 Alton Rood #2002
Miami Beach, Florida 33139
Miami Beach Commission For Women
Congratulations! You have been appointed by Commissioner Michael G6ngora-
to the agency, board or committee named above for a term ending: 12/31/2013.
Pursuant to Ordinance No. 2008-3543, commencing with banns beginning on or after
January 1. 2007, the term of board rnernbeny 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 oa|| the
City Clerk's (�ffioeat3O5-873-7411. Please read the enclosed rno``eria|m oanafu|/y.
Congratulations again and good luck.
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Sinoona|y.
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Rafael E. Gnanodo
City Clerk
� cc: Saul Frances, Parking Director
Wanda Geist
ATTACHMENTS:
Letter ofAppointment
Oath
City Code/Ordinance section applicable to agency, board orcommittee
City Code Section 2'22, 2'23, 2'24, 2'25' 2'28. 2'458 and 2'458
Ordinance No. 2000'3543 '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 one committed to providing excellent public service and ozfety to all who live work and play in our vibrant, tropical, historic community.
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139 .miamibeachfl.
www ov�
OFFICE OF THE CITY CLERK, Rafael Granado,City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
TO: Laura Cullen
RE: Miami Beach Commission For Women
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 the Florida 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* requirements of Miami-Dade County or the 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 have
served.
Laura Cullen
Sworn to and subscribed before me this day of , 2012.
Silvia Prieto
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfi.gov under City Clerk/Board and
Committees for additional information regarding the Financial Disclosure Requirement.
We are committed to providing excellent public service and safely to all who live, work and play in our vibrant, tropical, historic community.
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/\A, �� A BEACH
1.14
NAME: Cullen Laura
Last Name First Name Middle Initial
HOME ADDRESS: 2002 400 Alton Road Miami Beach FL 33139
Apt No. Home No./Street City State Zip Code
PHONE: 9542707720 laurac @clarkesmiamibeach.com
Home Work Fax Email Address
Business Name: Clarke's Position: Owner
Address: 840 First Street Miami Beach FL 33139
No. Street City State Zip Code
Professsional License(describe): Expires:
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: Yes
•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:
•Are you presently a registered lobbyist with the City of Miami Beach? 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 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
[3] Committee for Quality Education in MB 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 [1] 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 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:
• Have 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:
o List all properties owned or have an interest in,which are located within the City of Miami Beach:
400 Alton Road#2002,840 First Street
• I am now employed by the city of Miami Beach: No Which department?
o 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)
White
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:
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 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 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 Laura Cullen agreed to the following terms on 7/11/2012 2:57:58 PM
U/ /2'01 v
Received in the City Clerk's Office by: � per/l�i.� Date Control No. Date: / /2012 V
Name of Deputy Clerk
f
LAURA CULLEN
EXPERIENCE
June 2005-Present Clarke's Miami Beach,FL
Owner
1997 June,2005 Brittany Sales Company Miami,FL
State Sales Manager
• Manage sales of 150k case wine portfolio
• Consistently meet or exceed sales and profit goals
• Implement plans and programs including training and sales strategies
1996-1997 US Concepts Miami,FL
Key Account Manager
• Developed strong customer relationships and portfolio opportunities
• Trained and managed two salespeople in South Florida region
• Consistently exceeded goals for new product placements
1994-1995 Southern Wine and Spirits Miami,FL
Sales Representative
• Instrumental in building new territory including the top 50 on premise
accounts in Dade county.
• Specialized in staff training and wine list developement.
• Consistenly rewarded for exceeding sales goals.
EDCATION
2000 Florida International University
■ BA Hospitality Managemnet
2005 Florida Atlantic University
■ MBA International Business
E-MAIL LAUARC @CLARKESMIAMIBEAI-I.COM
151 MICIIIGAN AVENUE #532 MIAMI BEACH, FI, 33139 • PHONE (954) 270-7720
/\AIAMIBEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
vrww miamibeachfl.aov
CITY CLERK Office CityClerkC m i arnibeochfl.gov
Tel: 305.673.741 1 , Fax:305.673.7254
Acknowledgement of fines/suspension for Board Members for failure
to comply with Miami-Dade County Financial Disclosure Code Provision
Code section 2-11.1(i) (2.)
Board Member name: 02A - GG
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 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 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.
15 /Z
Signature: Date:
i
M 1 A M FDADE
SOURCE OF INC®ME STATEMENT
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
For Tax Year
Name: GL-) Ending:
Mailing Address: A-00 QltDO RDCIJ 1+2COZ
City/State/Zip: L91'aml, BCC �13
Social Security Number: - - — --
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving: Term or Employment
Began on:
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 of Source of Income Address Business Activity
CAOLVIKCI
I hereb f swear(or affirm)that the aforesaid information is a true and correct statement.
Signature of person disclosing Date signed
i