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Rebecca Boyce 12/31/2012 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: (3051 673-7254 10-19-2012 Rebecca Boyce 1020 Meridian Ave Miami Beach, Florida 33139 F, ;' Tennis Advisory Committee Congratulations! You have been appointed by Commissioner Michael Go'ngora 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 at 305-67.3-7411. Please read the enclosed materials carefully. Congratulations again and good luck. Sincerely, Rafael E. Granado City Clerk cc: Saul Frances, Parking Director Julio Magrisso 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, 2-458 and 2-459 Ordinance No. 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 Amendment4nd 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,vvww.miamibeachfl.gov OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk Tel: (305)673-7411, Fax: (305)673-7254 TO Rebecca Boyce 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 Ordinance), 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. Rebecca Boyce Sworn to and subscribed before me this _3z day of �. , 2012. w � � 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. • • C11-31Y 01" MIAMI[ BEACH 1\A I AM I EAC1-1 A0A AND 1,10VJ11V IT TEE APPL,1CAa 1014 FORIs.'i NAME: ..e ms' cc- Last Na First Name Middle Initial HOME ADDRESS:AV 02, 0 2 v-*t o� a^'`^ 13 eCL41 Code 2 �Apt� . House No./Street City State Zip Co PHONE: �'[� J" 6 0 Co -- ���7 — - 2 2, Q e oMe #ewe Work sS H•Fax Email address Business Name: • 9-e ac 2 +'S Position: ��P Sz d Address: [r)-i• OL o�S S - No Street City/� tate Zip Code I _ SSO_t c� N S�v ct o-v- Professional License(describe) 2 (*m 4- -2 jA 0 1 Expires: Atiach r)copy of the ficanso 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 X.. No 0 • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months:Yesor No C •Are you a registered voter in Miami Beach: Yes>ror No 0 •(Please circle one): I am now a resident of: North Beach Onow�ledge�an Middle Beach • I am applying for an appointment because I have special abilities, rience. Please list below: . •Are you presently a registered lobbyist with the City of Miami Beach?Yes 0 or No. S 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) 0 Affordable Housing Advisory Committee 0 Marine Authority 0 Art in Public Places Committee XMiami Beach Commission for Women Z ❑Beautification Committee ❑Miami Beach Cultural Arts Council ❑Board of Adjustment* • 0 Miami Beach Human Rights Committee 0 Budget Advisory Committee ❑Miami Beach Sister Cities Program 0 Capital Improvements Projects Oversight Committee 0 Normandy Shores Local Government Neigh. Improvement ❑Committee on the Homeless 0 Parks and Recreation Facilities Board ❑Committee for Quality Education in MB ❑Personnel Board 0 Community Development Advisory 0 Planning Board* ❑Community Relations Board ❑Police Citizens Relations Committee ❑Convention Center Advisory Board ❑Production Industry Council 0 Debarment Committee 0 Safety Committee 0 Design Review Board* ❑Single Family Residential Review Panel 0 Disability Access Committee 0 Sustainability Committee 0 Fine Arts Board Wennis Advisory Committee 1 -3i?Ga , Lesbian, Bisexual and Trans ender(GLBT D Transportation and Parking Committee 0 Golf Advisory Committee 0 Visitor and Convention Authority ❑Health Advisory Committee ❑Youth Center Advisory Board 0 Health Facilities Authority Board ❑ Hispanic Affairs Committee 0 Historic Preservation Board ❑Housing Authority 0 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 0 No 0 Years of Service: 2. Present participation in Youth Center activities by your children Yes❑ No D. 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: F:\�LCR\$ALL\nFORMS\BOARD AND C01MI !IiiEES\5C App icci1ior.cloc O .Have you ever been convicted of a felony: Yes❑or NoKlf yes, please explain in detail: e Do you currently have a violation(s) of City of Miami Beach codes: Yes❑or NoX. If yes, please explain in detail: e Do you currently owe the City of Miami Beach any money: Yes❑or No), If yes, explain in detail e Are you currently serving on any City Boards or Committees: Yes❑or No`s If yes;which board? � D — e What organizations in the City of Miami Beach do you currently hold membership in? rj-e-e oars-cQC�{ Name: Title: Name: Title: e List all properties owned or have an interest in, which are located within the City of Miami Beach: C>2c7 l(Z-e Y'• d 6� 2i 3 3 • I am now employed by the City of Miami Beach:Yes❑or NoVVVhich department? e Pursuant to City Code Section 2-25(b): Do you have a parent❑,spouse❑,child O,brother❑, or sister❑who is employed by the City of Miami Beach?Check all that apply. Identify the department(s): �j () 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 female Ethnic Origin: Check one only(1) VWhite (Not of Hispanic Origin):All persons having origins in any of the original peoples of Europe,North Africa or the Middle East. ❑ African-American/Black (Not of Hispanic Origin):All persons having origins in any of the Black racial groups of Africa. ❑Hispanic: All persons of Mexican,Puerto Rican,Cuban,Central or South American,or other Spanish culture or origin,regardless of race. ❑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. ❑American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America,and who maintain Cultural identification through tribal affiliation or community recognition. Physically Challenged: Yes❑or No❑. Employment Status: Employed Retired❑ Homemaker❑ Other 0 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: o Prohibition from directly or indirectly lobbying city personnel(Miami Beach City Code section 2-459). o Prohibition from contracting with the city(Miami-Dade County Code section 2-11.1). o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach City Code section 2-26). o 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 I–of the City Code"Standards of Conduct for City Officers,Employees and Agency Members." Z c CL o c pplicant`s Signature U I Datd Name of Applicant(PLEASE PRIN Received in the City Clerk's Office by: Date:—/ /2010 Control No. Date: /_/2010 Name of Deputy Clerk REBECCA BOYCE APPLICATION FOR TENNIS ADVISORY COMMITTEE (Additional Information) Memberships in Miami Beach Organizations 1. Miami Beach Tennis Players Association(President and Founder) 2. Miami Beach Leadership Academy Graduate and former Board Member of MBLAAA(Alumni Association) 3. Miami Beach United 4. Flamingo Park Neighborhood Association Special Qualifying Knowledge 1. Recreational and active tennis player for over 50 years—currently play 3-5 times per week at Miami Beach Public Tennis Facilities. 2. 'Associate Instructor of Tennis certified by Professional Tennis Registry. 3. Tennis Teacher(as independent contractor) and founder of True Beginner Tennis for Women,a Miami Beach Parks and Recreation Department program. 4. Masters of Science,Sports Management candidate, December 2012. P-O/ PRESS RELEASE For Immediate Release 0 PROFESSIONAL TENNIS REGISTRY Local Tennis Pro Earns PTR Certification Hilton Head Island, South Carolina -- Rebecca Boyce of Miami Beach, FL has been certified in Adult Development by Professional Tennis Registry(PTR). PTR is the largest global organization of tennis teachers and coaches. A comprehensive examination is used to determine each member's rating. Boyce received the Associate Instructor rating. PTR is.the largest global organization of tennis teaching professionals with 14,300 members in 115 countries. It has the greatest percentage of multicultural and women members of any such organization. PTR is dedicated to educating, certifying and servicing tennis teachers an coaches around the world in order to grow the game. (30) Contact:Steve Keller•PO Box 4739,Hilton Head Island SC 29938.•USA 800-421-6289•843-785-7244•-fax 843-686-2033 •steve @ptrtennis.org•www.ptrtennis.org MIAMI BEACH city of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, WWW.miamtbeochfl.AOv C[TY CLERK Office CityClerkC m i amibeochfi.8ov Tel: 305.673.741 1 , Fax: 305.673.7254 Acknowledgement of fines/suspension for Board Mere hers for failure to comply with Miami-Dade County Financial Disclosure Code Provision Code :Section 2-11.1(i) (Z) Board Member name: 3a7yee- I understand that no later than July 1, of each year 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 mayhave 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 fife, according to the Miami-Dade .County Code Chapter 1, General Provision, Section 1 Z may subject the person or firer to a fi ne not to.exceed $500.00 or by imprisonment in the county jail for a period not to exceed sixty days, or both. U � L Signature: Dcite-: M I A M I•DADE SOURCE OF INC®ME STATEMENT Please Print or Type First Name Middle Name/Initial Last Name Disclosure For Tax Year Name: Ending: Mailing Address: ✓ �-� 2- 0 z - r City/State/Zip: a w l -qax�, 33 l Social Security Number: ( O j-- L/ 2� 3 D Filing as a: ® County Employee: ® Municipal Employee of: Position held o sou h g N s !J c So 124M r*IQ�- Board where serving: Term or Employment Began on: Department where employed: Work Address: ��-�'j etv K' ��"u(—L (7t Q Kil i 3��3J If your home address is exempt from public records pursuant to Florida Statutes§119.07 please check here(read instructions): ® Work Telephone:3o — 3-7 Home Address: re SS Street iddress 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 Name of Source of IncoFpe Address Business Activi ty 6.ucs L POW t— F%Gt o I hereby swear(or affirm)that the aforesaid information is a true and correct statement. D Z Signature of person discl ing bate gigned