Jacobo Epelbaum 12/31/2013 /A
City of Miami Beach, 1700 Convention Center Drive' Miami Beach, Florida 331 39,
OFFICE Op THE CITY CLERK, Rafael Granada, City Clerk
Tel: (305)673-741 1, Fox: (305)673-7254
O8-28-2O12
Jeoobo Epe|beurn
8O35 Cecil Street
Miami Beach, Florida 33141
g7'T'77-7777=7 77
t,_,VRJ4EQT Miami Beach Sister Cities Program
Congratulations! You have been appointed by Mayor Matti Herrera Bower
to the agency, board or committee named above for o term ending: 12/31/2013.
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.
|f you are unable toaccept this appointment or have any questions, please call the
City Clerk's Office ot3O5-873-7411. Please read the enclosed materials carefully.
Congratulations again and good luck.
`
8inoeno|y.
ReW�e| E. Gnanado
City Clerk
cc: Saul Frances, Parking Director
Diana FontanU
ATTACHMENTS:
Letter ofAppointment
Oath
City Code/Ordinance section applicable ho agency, board orcommittee
City Code Section 2'22. 2'23. 2'24. 2'25, 2'20. 2-458 and 2-459
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 are committed to providing excellent public service and safety 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,www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael Granado,City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
TO: Jacobo Epelbaum
RE: Miami Beach Sister Cities Program
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.
1A
co o E elb um
Sworn to and subscribed before me this da of 9 ! 2012.
Y
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.
i
h
F I, 0 FF aa C p` M ^r C N
MMMV Please.Print.or7ype First Name Middle Name/Initial Last Name Disclosure.
For'Tax Year
Ending;
Name:
°
Marling Address;
c4/state/-Zip:
` 1
'Filing as a: ® County Employee;
® Municipal Employee Of:
position held or sought:
Board where Serving: Term or:Empio►yrnent Z
Began an: Ct
Qv�R�M
Department-where employed:
Work Andress:
If-your home address is.exeMpt from public records pursuant xe n Work'Talephone:
Florida Statutes.i 119.07 please check hare(read instructions);
Home Address:
Street Address
City ,State. :dip Code
please list below in descending.order with the largest source first;tie r>fan�e, address and
principal business acbvity of every source of your Income includirng public salary you
-received or any.person received for your.baneftt.or use during the disc`aisure period. The
income of your.spouse-or-any .business partner need not.be.disclosmci- If continued.on a
separate sheet,.check here:
pesc.o j Dn of the Principal
Name-of Source of Income , A►ddress Bursirress ity
%IS /�► W P► kE
( 02 N o° �
�
�l � t
5 �.r�v
LE L 110 r°a°
I hereby:swear (:or affirm)thatthe aforesaid information is.a true-and zorrect statement,
Sior6ature of pe n.disc * n ate igned