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Darin Feldman 12/31/2013 �, ~~^ City of Miami Beach ln0 Convention Center Drive,Miami Beach, Florida 33139' OFFICE[F THE CITY CLERK, Rafael Gmno6n'City Clerk TeL (305) 673-7411' pox: (305)673-7254 August 24, 2012 Darin Feldman 1882 Lincoln Court, Apt#404 Miami Beach, Florida 33139 SUBJECT: Community Relations Board Congratulations! You have been appointed by Kathie G. Brooks, Int. City Manager to the agency, board or committee named above for a term ending: 12/31/2013. If you are unable to accept this appointment or have any questions, please oo|| the City Clerk's Office ot3O5-673-7411. Please read the enclosed materials carefully. ' Congratulations again and good luck. 8inoere|y, City Clerk cc: Saul Frances, Parking Director Liaison ATTACHMENTS: Letter of Appointment Oath City Code/Ordinance section applicable to ogenoy, board or committee City Code Section 2'22, 2'23, 2'24, 2'25, 2-26. 2-458 and 2'458 Ordinance No. 2006'3543 -Amendment to City Coda Section 2'22 Miami-Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics City Wide Permit Application '(Parking Department Form) Booklet' Guide to the Sunshine Amendment and Code of Ethics for Public Officers and We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. i U m MIAMI BEACH 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 I - I TO: Darin Feldman RE: Community Relations Board 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. 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 lorida depending on a oard or committee on which I serve) on July 1, following the cl ng of the c n ear n w Ich I have served. I - j Darin Feldman I Sworn to and subscribed before me this day of aQ f , 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. 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 C1111 Y OF M I A PA I B E A C H L E-3 ANI C,'N" 1711"U' APPLICATION FORI 1 NAME: FELDMAN Darin i ast Name First Name Middle Initial HOME ADDRESS: 404 1662 LINCOLN Miami Beach FL 33139 COURT Apt No. Home No./Street City State Zip Code PHONE: 305-582-6200 305-398-7888 305-398-7889 dfeldman@majesticproperties.com Home Work Fax Email Address Business Name: Majestic Properties Position: sales Address: 1682 Jefferson ave. Miami Beach FL 33139 No. Street City State Zip Code Professsional License(describe): Real Estate License Expires: 2014 Atfach a copy 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 • 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: I am interacting with clients everyday promoting the city and to invest in the cities growth •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)L 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 [3] Beautification Committee Marine Authority Board of Adjustment* Miami Beach Commission for Women Budget Advisory Committee Miami Beach Cultural Arts Council Capital Improvements Projects Oversight Committee Miami Beach Human Rights Committee Committee for Quality Education in MB [2] Miami Beach Sister Cities Program Committee on the Homeless Normandy Shores Local Gov't Neigh.Improvement Community Development Advisory Parks and Recreation Facilities Board [1] Community Relations Board Personnel Board Convention Center Advisory Board Planning Board* Debarment Committee 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: 0 Have you ever been convicted of a felony: No If yes,please explain in detail: • Do yoo 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? 0 What organizations in the City of Miami Beach do you currently hold membership in? Name: Title: Name: Title: • List all properties owned or have an interest in,which are located within the City of Miami Beach: 1662 Lincoln Court#308, 1662 Lincoln Court#404 e I am now employed by the city of Miami Beach: No Which department? • 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: Male 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: • Prohibition from directly or indirectly lobbying city personnel(Miami Beach City Code section 2-459). • Prohibition from contracting with the city(Miami-Dade County Code section 2-11.1). • Prohibition from lobbying before board/committee you have served on for period of one year after leaving office(Miami Beach Code section 2-26). • 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 Offic ployees a Agency Members." I Darin FELDMAN agreed to the followin rms on 6/12/2012 1:45:01 M /v Received in the City Clerk's Office by: J14_Cf4htt&Date: / /2012 Control No. Date: / /20 2 Name of Deputy Clerk Darin J. Feldman 1662 Lincoln Ct #4041 Miami Beach, FL. 33139 305-582-6200 dfeldman @majesticproperties.com SKILLS PROFILE • Have worked the last 10 years in the Miami Beach real estate industry for Majestic Properties • Currently handle property management for 7 buildings for international investment group • Work with top contractors in Miami • Experience in handling confidential paperwork • Sat on the beatification board for the city of North Bay village • Sat on previous condominium boards bringing positive results to each property • Developing and selling luxury project in the Dominican Republic EMPLOYMENT HISTORY Majestic Properties 1999-current • Have sold more then 150M in residential and commercial real estate • Have been a top producer consistently for the last 10 years of my career House and Garden Television 2007 • Launched and hosted the first season of "My House is worth what" • Hosted "International.House Hunters" on HGTV EDUCATION • Diploma bachelors of Science and Finance 1993 University of Michigan 1 - STATE OF FLORIDA q DEPARTMENT. OF BUSINESS AND,. PROFESSIONAL REGULATION s = 'DIVISION OF REAL ESTATE.-_-: t .ti - SgQ L11:03040:10.89 +.. L'I-CENSE NBR, an �4 Z_011. 1OOA213 =949. SL702529. -,AL ~S SSO H T WW E blow ICY�IGM�EI3 the provzs. ions -of Chapter- 475 F$,. z•$tvn date: rM�iR 31, =2013 FELDMAN, DARIN JORDAN i 5 L ITT { LN .7 #f3 0 8-= 2�I +iI BEACH - _ FL 33.139 — •!ire _.. = - -_- — _ _ : - RICK 5aTT GOVERNOR CHARLIE:_iLIEM_ DISPLAY AS REQUIRED BY LAW SECRETARY OD MIAM I BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov CITY CLERK Office CityClerkCmiarnibeachfi.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 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 $500.00 or by imprisonment in the county.jail for a period not to exceed sixty days, or bot 9 15). J 4), ignat e: Date: M 1 A M I•DADE SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name/Initial Last Name Disclosure � For Tax Year Name: �G rl lQ, Vn�{.� Ending: - 1 ] Mailing Address. City/State/Zip: FL 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: o� /jo C C'� - 41()Lj 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 l I by swea (or a )t t e aforesaid information is a true and correct statement. ature of pe 'sclosing Date signed