Andrea Lisa Travaglia 12/31/2012 Z\
City of Miami Beach 1n0 Convention Center Drive,Miami Beach, Florida 33139'
OFFICE CF THE CITY CLERK, Rafael Granada, City Clerk
Tel: (3O5)67374l l' Fox: (305)673-7254
O9-28-2O12
Andrea Lisa Tnawsg|ia
50 South Pointe Drive, Apt. 3201
Miami Beach, Florida 3313Q
Disability Access Committee
Congratulations! You have been appointed by Commissioner Jorge ExposUto
to the agency, board orcommittee named above for a term ending: 12/31/2012.
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 et3O5-873-7411. Please read the enclosed materials carefully.
Congratulations again and good luck.
8inCena|y.
^~~�
Rafael E. Gnanado
City Clerk
cc: Saul Frances, Parking Director
Duane Knecht
ATTACHMENTS:
Letter ofAppointment
Oath
City Code/Ordinance section applicable to agency, board orcommittee
City Code Section 2'22, 2'23, 2'24, 2'25, 2'20. 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 are committed to providing excellent public service and safety to a//who live, work and play a our vibrant, tropical, historic community.
/\AIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.0ov
OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
TO: Andrea Lisa Travaglia
RE: Disability Access Committee
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 Interest
and Code of Ethics Ordinance), as well as the Florida Commission on Ethics Guide to the 1
Sunshine Amendment and Code of Ethics for Public Officers and Employees, and understand that
as a member e ber of a City of Miami Beach Board and/or Committee, I must c ply with the financial
disclosure* requirements of Miami-Dade County or the State of FJqrida (d ndin the b and or
committee on which I serve) on July 1, following the closin the calen a ye o hic have
served.
Andr a Lisa Travaglia
Sworn to and subscribed before me this 15 day of ,0 o�lEi/1,-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 IT MA CH
C)A,V, AND ON AH' � ;
APPLICATION s
NAME: TRAVAGLIA ANDREA L
Last Name First Name Middle Initial
HOME ADDRESS: 3201 50 SOUTH POINTE Miami Beach FL 33139
DRIVE
Apt No. Home No./Street City State Zip Code
PHONE: 917.834.0901 786.768.2170 561.491.265EE`"x 4aa ATRAVAGLIA@AOL.COM
Home Work Email Address
Business Name: LEE&MARIES CAKERY COMPANY Position: OWNER
Address: 108 40 SOUTH POINTE DRIVE Miami Beach FL 33139
No. Street City State Zip Code
Professsional License(describe): Expires: attach a copy ithe ficense
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 CREATE BUSINESSES THAT EMPLOY ADULTS WITH ASD(AUTISM SPECTRUM DISORDER)
•Are you presently a registered lobbyist with the City of Miami Beach? Yes
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' Miami Beach Commission for Women
Budget Advisory Committee Miami Beach Cultural Arts Council
Capital Improvements Projects Oversight Committee [2] Miami Beach Human Rights Committee
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 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) [3] 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 [1] 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: Chamber of Commerce Title:
Name: Title:
• List all properties owned or have an interest in,which are located within the City of Miami Beach:
Continuum S&N,YC Portofino&Cosmopolitan: 10apts
• 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: Female
Ethnic Orgin:Check one only(1)
White
Physically Challenged: No
Employment Status: self 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 Officers,Employees and Agency Members."
I ANDREA TRAVAGLIA agreed to the following terms on 9/26/2012 1:10:29 PM
Received in the City Clerk's Office by: Date: / /2012 Control No. Date: / /2012
Name of Deputy Clerk
i
Andrea Lisa Travaglia
50 South Pointe Drive, Apt 3201 , Miami, Florida 33139
Cell: 9178340901 : atravaglia @aol.com
Professional Summary
SOCIAL ENTREPRENEUR: Since 2008 1 have created 3 "for profit" businesses that enhance the quality of life for
adults diagnosed with Autism Spectrum Disorder (ASD). We hire them to fill many jobs, depending on their
talents and interests. My business model will create awareness for this underemployed and undervalued
population and demonstrate the positive effect these opportunities will have on an entire community.
2008- Present Created Exclusive Miami Rentals (exclusivemiamirentals.com) I bought, designed and decorated 9
apartments located South of Fifth, Miami. I formed 3 LLCs that incorporate all the properties, Chelsea Property
Group, Chelsea's Places and George, Charlie & Rocco. They are short and long term rentals. In the off season we
invite families and care givers who work and live with children who are diagnosed with ASD.
2010-Present Co-Founded and Owner VITACARE (vitacareworld.com & facebook.com/vitacareworld), an oral care
company. The products are vitamin infused toothpaste, mouthwash, gum and biodegradable toothbrushes. We
are currently sold in all of the Whole Foods throughout the US and UK, 3000 drug and vitamin chains in the US,
750 stores in Australia and many internet sights.
2010-Present Founded Lee & Marie's Cakery Company (facebook.com/leeandmaries) in Miami and New York, as
well as designed the retail stores. We create jobs and employ adults with ASD. We help guide them on a path to
greater independence, so they can achieve their highest potential and enhance their quality of life. We work with
Deborah Chin and Dr Michael Alessandri from UM NSU CARD who train our"adults" as well as our other
employees for an easy transition into the work place. L&M opened their doors on September 14th, 2012.
1985-1987 Owned and Operated "Tieland", (Men's Tie Shop), Woodbury Commons, Harriman NY
1979-1983 NW Ayer, Advertising Agency. Group Assistant to Project Manager in Qualitative Marketing in New
Product Development. Worked on De Beers Diamonds, Gillette, 7 up and US Army, I also ran focus groups and
edited commercials for clients.
Education
The Dalton School 1974
New York, New York, USA
High School Diploma
1964-1974 Middle School and High School
Marymount Manhattan College
New York, New York, Usa
Arts Therapy
1976 Summer Program Studied Arts Therapy , received a certificate..
Jean Erdman Dance Studio, Manhattan School of Dance, American Dance Center(Alvin Allely)
New York, New York, USA
Dance
1960-1968 Jean Erdman Dance Studio, studied Modern Dance with dancer and choreographer Jean Erdman.
1968-1972 Manhattan School of Dance, studied Ballet with Margaret.Craske
1972-1977 Alvin Ailey American Dance Theatre, formely known as "American Dance Center" studied Jazz with
Nat Horne and Pepsi Bethel and Ballet with Trudy Gasparanetti
The Stella Adler Acting Studio of Acting and Herbert Berghof Studio
New York, New York, USA
1
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Acting
1977-1979 The Stella Acting Studio, studied Acting and Scene Study with Stella Adler
1979 Herbert Berghof, studied Acting with Austin Pendleton
Professional Affiliations
2012 Member of Miami Beach Chamber of Commerce
2011 Founder of the First Annual Tennis Clinic, Flamingo Park, Miami . A day of tennis and fun for children and
their families dealing with ASD. The children and adults with ASD were able to learn how to play tennis with
professional tennis players, Janko Tipsarevic, #8 in the world was one of the many players who donated their time
during the Sony Ericsson. UM CARD invited the families, Lee and Marie's Cakery donated lunch, HEAD supplied
rackets and balls.
1999-2008 Chaired and Co-Chaired many committees for the Trevor Day School, a private school in NYC where
my daughters attended and graduated.
2003-2004 Paul Taylor Dance Company, Board Member and New York Season Gala Committee. Provided and
Designed a Dancer's Lounge for the Company
2003-2005 Behind The Book, Board Member, Fund Raiser and Designed the Logo. Bringing Contemporary
Authors and their books to children in the Public Schools, NYC.
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M I A M hDADE
SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name Initial Last Name
Disclosure
For Tax Year
Name: ^5t3` ` �rrG4G *C?— Ending:z
all
Mailing Address:
V 74 1'�e•�rckcg
City/State/Zip:
Social Security Number:
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought: ti�k
Board where serving: Term or Employment
Began on: IG
Department where employed: r v S
Work Address: ?U 74qAzk
If your home address is exempt from public records pursuant to
Florida Statutes§119.07 please check here(read instructions): ® Work Telephone:
Home Address: � �^ �o1�Co . 44:320 k
Street Address
-3-��C�
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
N me of Source of Income Address Business Activi
e; C4 v w
FVC
r hoof
I hereby swear(or Irm)th the/aforesaid information is a true and correct statement.
i
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Signature'dFffierson disclo g Date signed
1AM I BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.Aoy
CITY CLERK Office CityClerkCrn i arnibeochfi.gov
Tel: 305.673.741 1 , Fax:305.673.7254
Acknowledgement of fines/suspension for Board Mernbers for failure
to comply with Miami-Dade County Financial Disclosure Code Provision
Code Section 2-11.1(i) (2)
Board
Member name: AIJP ' S� _L, (/
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 lax Return
Failure to fie, 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.
Sign u Date: