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David Berger 12/31/2012 / City of Miami'Beach, /n0Convention Center Drive,Miami Beach, Florida 33l39, | OFFICE CF THE CITY CLERK, Rafael Gmnodo, City Clerk Tel: (305)673-7411, Fox: (305)673-7254 1O-31-2O12 David Berger 1838VV. 23rd St, Sunset Island #3 Miami Beach, Florida 33140 - - — - "T Tennis Advisory Congratulations! You have been appointed b« Commissioner Jorge Exposito to the agency, board or committee 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 at3O5-673-7411. Please read the enclosed materials carefully. � Congratulations again and good luck. Sincerely, ' Rafael E. Granado City Clerk cc: Saul Frances, Parking Director Julio NYagrUsso ATTACHMENTS: Letter ofAppointment Oath CityCode/Ordinonoa section applicable to agency, board or committee City Code Section 2-22. 2'23, 2-24. 2'25. 2'2O. 2-458 and 2-459 Ordinance No. 2000-3543'Amendment to City Code Section 2'22 W1ianni'[Joda 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,emice and safety to all who live, work and play m our vibrant, tropical, historic community. City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfi.gov OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk Tel: (305)673-7411, Fax: (305)673-7254 TO David Berger RE: Tennis 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 Ordinanc e), as well as the Florida Commission on Ethics Guide to the Sunshine Amend- ment 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 ithe 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. David Berger Sworn to and subscribed before me this C day of N 0 V. , 2012. ' a 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. IT Y OF t lAIM1 EB E A C H ,/k I AM I B EAC H N' NAME: fz- Last Name F'irst Name Middle Initial HOME ADDRESS: f7L 3 51 If 0 Apt No. House No./Street city State Zip Code PHONE: jqq beraer CAOLV (,(OVAA_ ++e Work Fax Email address Business Name: Position: Address: No, Street City Sfnt� Zip Code f'qi� 0 VJ t Z;:;j: Professional License(descd6e) ct Rea-k Glkk tMj&C Expires: 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/kor No •Demonstrate an ownership/interest in a business in,Miami Beach for a minimum of six(6)months; Yes Vor No •Are you a registered voter in Miami Beach:Yes <or No •(Please circle one): I am now a resident of'. North Beach oath Beach Middle Beach •I am mlying for an appointrnent�beqpuse l,hpve special bilitip,knowlecWe ar Vdxp�Unence. Please list below: Vt 't-4 a VA L •Are you pretently a registered lobbyist with the City of Miami Beach?Yes or 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) choices will be observed by the City Clerk's Office.(Regular Boards of City) Affordable Housing AdvisoEy Committee 0 Marine Authority C,Art in Public Places Committee (I Miami Beach Commission for Women G,Beautification Committee Q Miami Beach Cultural Arts Council 0 Board of Adjustment* 0 Miami Beach Human Rights Committee D Budget Advisory,Committee Li Miami Beach Sister Cities Program 0 Capital Improvements Projects Oversi2ht Committee 0 Normandy Shares Local Government Neigh. Improvement 0 Committee on the Homeless 0 Parks and Recreation Facilities Board 0 Committee for Quality Educatiomin MB o Personnel Board 0 Community Development AdViso!y 0 Planning Board* 0 Community Relations Board 0 Police Citizens Relations Committee C Convention Center Advisory Board 0 Production Industry Council 0 Debarment Committee 0 Safety Committee 0 Desiqn Review Board* C3 Single Family Residential Review Panel 13 Disabili./Access Committee 0 Sustainability Committee 0 Fine Arts Board Lennis Adviso!y Committee 0 Gay, Lesbian, Bisexual and Transgender(GLBT-) 0 Transportation and Parking Committee 0 Golf Advisory Committee ❑Visitor and Convention Authority .0 Health Advisory Committee 0 Youth Center AdvisoEy Board D Health Facilities Autt, Board 0 Hispanic Affairs Committee. 0 Historic Preservation Board ❑Housing AuthoriV D Loan Review Committee *Board Required to File State Disclosure Form 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-Yes No Years of Service, 2, Present participation in Youth Center activities by your children Yes. : 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'everbeen convicted ofofelony; Yes/ orMmV If yes, please explain\ndetail: Do you currently have a violation(s)of City of Miami Beach�des.- Yes/ or No If yes, please explain idetail. tJ1 *.Do you currently owe the City of Miami Beach any money: Yes or No>('If yes, explain in detail W�%,C� UA� m Are you currently serving on any City Boards or Committees: Yes mNm)4� If yes;which board? •What organizations,in the City ofMiami Beach do you currently hold membership in? Name: Title: Name: Title: • List all properties owned or have an interest in,which are lopated within the C't f Miami Beach: 4 ZU 4 1 ki f *I am now employed bythe City of Miami Beach:Yes or No�/Which department? *Pursuant mu City Code Section 2-25(b)'Do you have oparent ,spouse ',child .bmthor',orohster' who is employed bythe City of Miami Beach?Check all that apply.Identify the depmrtnent(n). tj � »l The following information is voluntary and Is neither part of your application nor has any bearing omyour consideration for appointment. It is being asked mw comply with federal equal opportunity reporting requirements. Gandmcie�«o|e El Female Ethnic Origin! Check one only(1) AWhite (Not of Hispanic Originy All persons having origins in any of the original peoples of Europe,North Africa.or the Middle East. El African-American/Black (Not of Hispanic Origin):All persons having origins in any of the Slack�racial groups of Africa, 0 Hispanic: All persons of Mexican.Puerto Rican,Cuban,Central or South American,or other Spanish culture or origin,regardless of race. 0 Asian or Pacific Islander*All persons having origins In any of the original peoples of the Far East,Southeast Asia.the Indian Subcontinent,on the Pacific Islands, This area includes,for example,China.India,Japan,Korea.the Philippine Islands and Somoa. G American Indian or Alaskan Native, All persons having origins in any of the originalpeoples',of North America,and who maintain Cultural identification through tribal affiliation,or community recognition. Physically Challenged: Yes or N Employment Status. Employed 0 Retired D Homemaker 0 Other Nr Se If NOTE: If appointed,you will be required to follow certain laws which apply to city boardicommiftee members. These laws include,,but are not limited to,the following: Z� 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 bo-ard/committee you have served on for period of one year after leaving office (Miami Beach City 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 57061 1), 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 4ave received, read and will abide by Chapter 2, Article VII—of the City Code"Standards of Conduct for City Ofricers,Employees and Agency Members." ApplicanVs Signature —A Date Name of Applicant(PLEASE PRINT) Received in the City Clerk's Office by: Date.--/ /2010 Control No. Date.,—1. /2010 Name of Deputy Clerk DAVIT)J.BERGER David J.Berger is the founder,president and principal shareholder of Mega Capital Corporation,a privately held real estate and corporate investment and brokerage entity. All investment transactions originated by Mega Capital are conducted through separate private investment entities. By way of background,Mr.Berger is an attorney,real estate and corporate investor,real estate developer and merchant and investment banker. Mr.Berger brings a broad base of talents and multi-dimensional experiences to his ventures. For sixteen years,Mr.Berger practiced law as a prominent real estate and business attorney. He was a senior partner in the statewide Florida law firm of Broad and Cassel,resident in the Miami office and a member of its management committee and head of its real estate group in Miami. As a lawyer,Mr.Berger has extensive legal experience in the areas of real estate,corporate business,finance, lending,government contracting and other areas. While a practicing lawyer,Mr.Berger handled a great number of sophisticated and complicated projects and has represented creditors,debtors,owners and government agencies involved with a multitude of real estate, business,financing and financial matters in virtually every product type. Mr.Berger has served as special counsel to the City of Miami Beach and to its Redevelopment Agency in connection with a variety of transactions including various public private ventures,acquisitions,eminent domain, RFPs and tax increment financing transactions. He has also served as member of the City's Health Facilities Authority and Convention Center Capital Improvements Committee. Mr.Berger left the practice of law and went into business full time in 1995 as an active business and real estate investor as well as an investment and merchant banker. David is a founding member of a merchant banking and investment banking business involved in debt and equity fundings,business and financial negotiations,strategy, consulting and advisory services,business analysis,turnarounds,debt restructures and other matters. David Berger has been a successful real estate and business investor and developer for more than thirty years through a variety of entities and a myriad of product types. His projects include office,industrial,retail,multi- family,leisure,government occupied,and other uses,including a variety of mixed uses,with primary focus on industrial and office. Mr.Berger's real estate and business activities focus on value-creation where he and his partners develop and implement strategic solutions and structures for his real estate business interests. David Berger received his Bachelors Degree from the University of Florida and his Juris Doctor Degree from the University of Miami where he was an editor of the law review. Mr.Berger has an AV rating from Martindale- Hubbell which represents the highest rating for legal skills and ethical considerations as determined by other lawyers in Florida. David Berger is a licensed Florida real estate broker and Mega Capital Corporation is a licensed Florida brokerage company. Mr.Berger is involved in,and has served on the boards and as chair of numerous charitable and civic organizations. Perhaps most relevant is that David Berger is an avid sportsman,with particular interest in tennis. He grew up in Miami Beach where he continues to reside. He plays tennis at the various City parks(usually Flamingo Park) several times per week and is familiar with the City's tennis centers and has insight into the needs of the tennis sports community. 10/1/12 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.QOv CITY CLERK Office CityClerk @m i amibeachfl.gov Tel: 305.673.7411 ,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: A.1Z 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 ofthe 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 fife, 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. Signature: Date: ►®°a°� SOURCE OF INCOME STATEMENT Please Print or Type First Dame Muddle Name/Initial Last Name Disclosure For Tax Year Ending: Marne: �V y Mailing Address: Z8. � ��vll �G. .3 City/Mate/Zip: 3 G lq 0, Social Security Number: Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: Term or Employ nt Board where servin ��/�� began on: r 7/ Department where employed: Work Address: If your home address is exempt from public records pursuant to Work Telephone: Florida statutes§119.07 please check here(read instructions): p Horne Address: 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 not be disclosed.disclosure of re period. The income of your spouse or any business partner need separate sheet,check here: :\ , Description of the Principal Name of Source of Income Address business Activi %�ra w�«�. v2S. s 1 l )•2 E c Mme,r �. �. ,• .. �s Q r 1 CS O oC I hereby swear(or affirm)that the aforesaid information is a true and correct statement. cc V c Z Signature of person disclosing Date signed