Heidi Tandy 06/30/2013 City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael Granada, City Clerk
Tel: (305) 673-7411, Fax: (305)673-7254
August 21 , 2012
Heidi Tandy
4825 Lakeview Drive
Miami Beach, FL 33140
SUBJECT: Committee for Quality Education in Miami Beach
Congratulations! You have been appointed as a Representative of the PTA for Nautilus Middle
School to the above referenced agency, board or committee for a term ending,
06/30/2013.
If you are unable to accept this appointment, please notify the City Clerk's Office at (305)
673-7411 .
Sincerely,
Rafael E. Granada
City Clerk
cc: Saul Frances, Parking Director
Leslie Rosenfeld, Liaison
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, 2-2458, 2-459
Ordinance 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 Employees
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
TO: Heidi Tandy
RE: Committee For Quality Education In Miami Beach
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 as the representative of the PTA of Biscayne Elementary for a term ending:
06/30/13.
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 o.t e calendar ye 3r on which I have
served.
Heidi tfindy
Sworn to and subscribed before me this 0 Oday 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 safety to all who live, work and play in our vibrant, tropical, historic community.
G
I
MIAMI,
® .SOURCE OF INCO E .STAT'EMENT
Pi ease.Print.orType Fir Name Middle Name Initial Last Name
DiaClQSUre
For7ax Year
Name:
kD) Ending;
-Mailing Address: KeVk
city[state/.Zop.
Q
social.security Dumber;
Filing as a: ® County Employee.
® Municipal'Employee of:
ition held or sought: ��C. 1. ( �lrl �'
Board where serving: C T.errn or:Emplvyme t
Q�E Began.on. Va
9 r
Co
Ti
Department-where employed:
�, (� L 331 j
Work Address: l N
If your home address is.exempt from public records pursuant.tv c J
Florida Statutes-§ 119.07 pisase.chack here(read instructions);
El 'woriCTsiephone:
Home Address.
street Address
r---�.- 33 �O
Cif
.State. Zip Code
please list below in descending.order with .the largest source first,-time name, address and
Ple
principal business activity of every source of your tncorne including P obisc salary you
-received or any.perscan 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 shsat,.check here:
Descrier i®n Df-the'Principal
Name-of Source of Income Address Business Activity
o. in . 4
.7 hereby:s irm
ear (:a )that the aforesaid information is:a true ancl cDrrect statement,
Date signed
.Sionature of parson-disci sing
®
1
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.�ov
CITY CLERK Office CityClerkC m i amibeachfl.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 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.
Signature: Date:
i