Stephanie Berman 12/31/2012 /\AIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher,City Clerk
Tel: (305) 673-7411, Fax: (305)673-7254
02/28/2012
Stephanie Berman
2850 Sheridan Avenue
Miami Beach, Florida 33140
U-10RIMM. Affordable Housing Advisory Committee
Congratulations! You have been reappointed by the City Commission to the above
referenced agency, board or committee for a term ending: 12/31/2012.
If you are unable to accept this appointment, please notify the City Clerk's Office at
(305) 673-7411.
Please read the enclosed material carefully. Again, congratulations and good luck.
Sincerely,
s�
Robert.Parcher
City Clerk
cc: Saul Frances, Parking Director
Richard Bowman
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 331-39, www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
TO Stephanie Berman
RE: Affordable Housing Advisory 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.
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 theflorida 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*require-
ments of Miami-Dade County or the State of Florida(depending on the board or committee on which
I serve)on July 1 st,following the closing of the calendar year on which I have served.
Stephanie Berman
Sworn to and subscribed before me this�7 day ji!/It)A�, 20
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 Requirements.
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
IWAM I BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Fiorida 33139,
wvrw rniamlbeochfl.aov
CfTY CLERK Office CityC{erk@rm i amibeochfl.gav
Tel: 305.673.7-411 , Fax:305.673.7254
Acknowledgement of fines/suspension for Board Mern bars for failure
to comply with.Miamii-Dade County Financial Disclosure Code Provision
Code Section 2-11.1 (i) .(2)
";_
Board Member name; J���P�� 01,
.I understand that no later than.duly I r of each your all members of Boards .and
Committees of the City of Miami :Beach, including those of a purely advisory nature,arE
-requiredtto comply with Miami-Dade County Disdiosure Requirements. This means#hat the
members of Oity.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 mustfiie one of the following with the.City Cleric.of Miami Beach, 1 700 Convention
-Canter Drive, Miami Beach, Florida,by duly I aeach year.
1. A"Source of income Statement".(attached) or
.2. A"Financial.Statement' (attached(.or]
I A Copy of the person's current Federal income Tax Return
'Failure to flip, according-to the Uami-Dade :County Code Chapter 1, General
Provision, Section 1--s5 may subject the person or firm to a f ne not to.exceed
$500.00 or by imprisonment in the county,jdil for a.period nat to exceed sixty
days, or both.
gnature: Qts:
H
MIAMI, sOuR-CE DF INCDME STATEMENT
I"
Pl Base.Priat.orType First Name Middle Name/Initial Last Name
DisCfasure
1 For Tax'year
Name: Ending:
Mailing
state ZiR: �* 6t OWA -- 3 I I
city/ / _
ecur I er:
Filing as a: ® County Employee:
® Municipal Employee of:
position held or sought:
Board where sarong: I--� .�-� Term or.Empi®ya�ant
'.Began
on:
Deportment'where emp[sePyed:
work Address:
r ,r
if your-home address is exempt from public records-pursuant im ® .tthiorlc Tei®pinone:
Florida Statutes§ 1..5.07 plane check here(rand insstrue@ions);
Hoene Address:
-St eat Address
City state. •SIP Code
Pi$ase.list below in descending order with-the lav;gest source first, the hams, address and
principal business activity .of every source of your income inciudirig public.salary you
received or any person received for your benefit or use during the diccl Ifucontinu d1 or
-income of your spouse or any business partner need not be dt9clQSe
separate sheet, check here:
Descrip aan of the Principal
gusness AcEivi
Pvta�ree ®f- urce ®f Income Address r � 1
A 3 C16t
Z hBre,by swear (or-affirm)that the aforesaid information is:e true.and morreet statement.
.5ig ature of.parson discinsing Date signed