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Alan Lips 12/31/2012 ���� �r��\ ~~~J—~ City of Miami Beachln0ConventionCenter Drive,Miami Beach, Florida 33139, C}pp|Cs OF THE CITY CLERK, Rafael Grono6o' City Clerk Tel: (3O5)ur3-74l7' Fax: (305) u73'72J4 11-O5-2O12 /Uon Lips 212ONE1QOTerrace North Miami Beach, Florida 3317@ Convention Center Advisory Board Congratulations! You have been appointed h« Commissioner Jorge Expomito to the agency, board or committee named above for o term ending: 12/31/2012. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1. 2 the term of board members who are directly appointed bye member of the City Commission ohe|| 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 ot3O5-873-7411. Please read the enclosed materials carefully. Congratulations again and good luck. � � Sincerely, Rafael EGranado " City Clerk cc: Saul Frances, Parking Director � Lenny Timor 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 2'450 Ordinance No. 2OO8'3543'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 Granada,City Clerk Tel: (305)673-7411, Fax: (305)673-7254 TO Alan A. Lips RE: Convention Center Advisory 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: 12/31/2012. 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 the Florida Commission on Ethics Guide to the Sunshine Amend- ment and Code of Ethics for Public Officers and Emplo s, a understand that as a member of a City of Miami Beach Board and/or Committee, I must co ly with a financial disclosure*requirements of Miami-Dade County or ithe State of Florida (depe in th board or committee on which I serve)on July 1, following the closing of the calendar year n i I ate served. Alan A. Lips Sworn to and subscribed before me this S day of ad y _'2012. Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Comm 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. f MIAMI BEACH ITT OF M IAW BEACH BOARD �0,ND CONWITTEE77 APPLICATION FORM NAME: Lips Alan A Last Name First Name. Middle Initial HOME ADDRESS: 2120 NE 190 Terrace North Miami Beach FL 33179 Apt No. Home No./Street City State Zip Code PHONE: 305 8683600 305 8683600 305 8646740 aal @gprco-cpa.com Home Work Fax Email Address Business Name: Gerson Preston Robinson Position: Partner Address: 666 71 Street Miami Beach FL 33141 No. Street City State Zip Code Professsional License(describe): Expires: Attach a copy the h'cense 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: No • 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: No •.(Please circle one): I am now a resident of: North Beach • I am applying for an appointment.because I have special abilities, knowledge and experience. Please list below: •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(31 choices will be observed by the Cily Clerk's Office.(Regular Boards of City) Affordable Housing Advisory Committee Loan Review Committee Art in Public Places Committee Marine Authority Beautification Committee Miami Beach Commission for Women Board of Adjustment* Miami Beach.Cultural Arts Council Budget Advisory Committee Miami Beach Human Rights Committee Capital Improvements Projects Oversight Committee Miami Beach Sister Cities Program Committee for Quality Education in MB Normandy Shores Local Gov't Neigh.Improvement Committee on the Homeless Parks and Recreation Facilities Board Community Development Advisory Personnel Board Community Relations Board Planning Board' [1] Convention Center Advisory Board Police Citizens Relations Committee Debarment Committee Production Industry Council Design Review Board' Safety Committee Disability Access Committee Single Family Residential Review Panel Fine Arts Board Sustainability Committee Gay,Lesbian,Bisexual and Transgender(GLBT) Tennis Advisory 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 Youth Center Advisory Board Housing Authority 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: Miami Beach Chamber of Commerce Title: Chairman of the Board Name: Mount Sinai Medica Center Title: Member of the Board of Tr List all properties owned or have an interest in,which are located within the City of Miami Beach: Ocean Spray Hotel units&office/parking NB • 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 Officers,Employees and Agency Members." I Alan Lips agreed to the following terms on 10/28/2012 7:26:02 AM I r IiA� Received in the City Clerk's Office by: Date: / /2012 Control No. Date: IVO Name of Depu Clerk ALANA. LIPS, CPA PROFILE: 19-year public accounting professional with an extensive background in real estate, international transactions planning and compliance,management and construction,manufacturing,business consulting and professional services. EXPERIENCE: Gerson,Preston, Robinson & Company,P.A.,Partner and Shareholder 1995-Present Miami Beach, Florida—(305) 868-3600 • Manages and oversees International Tax Department. • Advises clients on inbound and outbound investment structuring. • Designs strategies in pre-immigration tax planning • Coordinates estate tax planning for clients • Manages and oversees audit and review engagements • Business acquisitions planning,due diligence,and complex transactions • General business consulting BDO Seidman,Atlanta, GA 1993-1995 • Staff member in audit department. • Focus on manufacturing and distribution. EDUCATION/CERTIFICATION: Master's Degree in Taxation,Cum Laude,Florida International University 1998 Bachelor's Degree,Accounting,Honors,University of Georgia 1993 Certified Public Accountant,Florida and Georgia Member,Florida Institute of Certified Public Accountants Member,American Institute of Certified Public Accountants CIVIC SERVICE: Chairman of the Board,Miami Beach Chamber of Commerce Member,Advisory Board of Trustees,Mount Sinai Medical Center Past Treasurer,Miami Beach Chamber of Commerce Board of Governors Member,Miami Beach Chamber of Commerce's Pillar of Trustees Past President,ORT America,Greater Miami Region Executive Governor Board Member,Aventura Marketing Council Trustee,Aventura Police Pension Fund Past Co-Chairman,Mount Sinai Medical Center's Young Founders Club Past Executive Board Member,Mount Sinai Medical Center Foundation Past Member,Miami Beach Budget Advisory Committee AWARDS: James J. McDonnell Outstanding Board of Governor Award,2011 South Florida Business Journal,Excellence in Accounting,2007 South Florida CEO"Next Gen"recognition June 2005 Winner of the South Florida Business Journal's"Up and Comers Award 2004" Recipient of the South Florida Business Journal's"2004 Excellence in Accounting Award" Honoree of the Cystic Fibrosis"Beauty and the Best"Honoree 2004 Honorary Chair Cystic Fibrosis"Beauty and the Best"2005,2006 and 2007 U'pdatcd Oct.12 MIAMI BEACH City 6f Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfi.gov CITY CLERK Office CityClerk @miamibeachfl.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 o n Dat . f "EM SOURCE OF INCOME STATEMENT Please.Print.or Type First Name Middle Name/Initial Last Name Disclosure n/ S For Tax Year Name: /'v l Endang: Mailing Address: �7�city/state/Zip: 31� (State/Zip: M/ Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: Board where searing: �!� �O/Y/ r., or Employment Began on: y X042 . Department where employed.. (pipV1Work Addres .s: . If your home address is exempt from public records pursuant to Florida statutes§119.07 please check here(read instructions): ® iAlorlc Telephone:' Home Address: °� a i 0 C� G Street Address 3 ' , 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 p ublic salary y ou 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 Activi d rI Qrjl�nl 3 I hereby wear r affirm)that the aforesaid information is.a true and correct statement. at signed .Sig re .person disclosing