Elaine Litvak 12/31/2012 ! ,:?
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City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,YrWW.miamibeachfI,qov
OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk
Tel: (305)673-7,411,Fax: (305)673-7254
06-14-2012 j
Elaine Litvak
1000 South Point#2303
Miami Beach, Florida 33139 i
_U =JrEC -: f`��Y� Disability Access Committee
e�
Congratulations! You have been appointed by Commissioner Michael Gongora
to the agency, board or committee named above for a term ending: 1213112012.
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,
Ra ael E. Granado
City Clerk
cc: Saul Frances, Parking Director
Duane Knecht
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 27459 : .
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.
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 vwvw.miamibeachfl.Uov
OFFICE OF THE CITY CLERK, Rafael E. Granada, City Clerk
Tel- (305)673-7411, Fax- (305)673-7254 Email- CityClerk @miamibeachfl.gov
TO: Elaine Litvak
RE: Disabillity Access 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 12/31/2012
I have been issued a copy of Section 2-11.1 of the Miami-Dade County Code (Conflict of 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.
Elaine Litva
Sworn to and subscribed before me this day of 'Tl)\, , 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 Requirement.
U
I\AIAM I BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.gov
CITY CLERK Office CityClerk @miamibeachfl.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: �I+V RV
I understand that no later than .July L 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
$500000 or by imprisonrrtent in the county jail for a period not to exceed sixty
days, or both.
Signature: Date:
1�
1'' 1
MIAWbAb011
maw SOURCE OF INCOME STATEMEIQV2 JUN. -4 PM 12: 55
CITY C►EkK'S 0 F F 1C
Please Print or Type First Name Middle Name Initial Last Name
Disclosure
For Tax Year
Name: [_{� IV S �.. li v ak Ending:
Mailing Address: { o b &A D-303
City/State/Zip: IoLrfN 3 3 q
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 tram 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-dithePrincipal
Naive df,Source:bf'Income Address :Business'Activi
1 )1. s r L') .0 eter%*f 0-1
cjf� ml i a — ci CAO C 'AG
P.,�4-0 oC' y.,
I hereb ear(or affirml t,,hat the aforesaid information is a true and correct statement.
20
Signature of person disclosing DaO signed