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Barbara Bibas Montero 12/31/2014 tO I City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.g-ov OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk Tel: (305) 673-7411, Fax: (305)673-7254 Email CityClerk @miamibeach.gov 11/15/2012 Barbara Montero 1900 Sunset Harbour Drive #2208 Miami Beach, Florida 33139 SUBJECT: Community Relations Board Congratulations! You have been reappointed by Commissioner Jorge Exposito to the above referenced agency, board or committee for a term ending: 12/31/2014. 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, R fael E. Granado City Clerk cc: Saul Frances, Parking Director Lynn Bernstein 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. I MIAMIBEACH 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 Email CityClerk @miamibeach.gov TO Barbara Montero RE: Community Relations 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: 12/31/2014. 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. Barbara Montero Sworn to and subscribed before me this aO day of / 201 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. MIAMFDiADE SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name/Initial Last Name Disclosure For Tax Year Name: �AorsaE E nding: Mailing Address: qoc> UJr��C'. A2,;—>O City/State/Zip: �, 3 Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: Board where serving- Term or Employ ent �r IAWJ'iTy RW.ATJ6 is o�2i) Began on: / / /3 Department where employed: o Work Address: ci 2.0 M 4 F ��73 % If your home address is exempt from pu lic rreco s pursuant to S Florida Statutes§ 119.07 please check here(read instructions): ® Work Telephone: Home Address: c(0 0 S� r� Sg�t`4 Cr4tJ%f - �zq, r Street Add r MA,n� �, 0,-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 Income Address Business Activity I hereby swear(or affirm) that the aforesaid information is a true and correct statement. Signature of person disclosing Date signed MIAMIBEACH City of Miami saach, 1700 Convention Center Drive, Miami Beach, Florida 331394 www.Miaml6eachfl.QDV C[TY CLERK Office ClfyClarkLamiamibeochfl.gav Tel: 305.673.741 1 , Fax;305.673.725.4 Acknowledgement of fines/suspension for Board Ma n bars for failure to comply with.Miami-Dade County Financial Disdosure: Code Provision Code Section 2-11.1 (i) .(2) Board Member name; .I understand that no later-than.Ju[y '1 , of e®ch year all members of Boards.and Committees of the City of Miami Beach, including those of is purely a dvisory nature, are -required-to comply with Miami-Dade County Disclosure Requirements. This-meansihat the members of City.Advisory. Boards, whose sole or primary responsibility is to .recommend legislation or.give.advice:to-the City Commission,-mustflie, even though -you rnay.have been recently appointed. You -mustfife c)ne of the-following-with the.City Clerk.of Miami Beach, 1 700 Convention Center Drive, Miami Beach, Florida,by July I -each year. 1. A".Source.of income-Statement'.(attached) or Z. A"Financial.Statement' (attached(.or] 3. A Copy.of the person's current Federal income Tax Return Failure to Tibe, according-to the Uami=Dade:county rode Chapter 1, General Provision, Section 1 Z may subject the person or Firm to a fl ne not to.exceed $500..00 or by imprisonment in the county jail for a.period not to exceed..sixty clays, or both. Signature: pert�: