Andrea Lisa Travaglia 12/31/2014 City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael Granado,City Clerk
Tel: (305) 673-7411,Fax: (305)673-7254
Email CityClerk @miamibeach.gov
11/15/2012
Andrea Lisa Travaglia
50 South Pointe Drive, Apt. 3201
Miami Beach, Florida 33139
SUB4ECT.1 F Disability Access Committee
Congratulations! You have been reappointed by Commissioner Jorge Exposito
to the above referenced agency, board or committee for a term ending: 12/3112014.
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
Duane Knecht
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 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 Andy Travaglia
RE: Disability Access Committee
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 disclosur equirements of
Miami-Dade County or ithe State of Florida (depending on the b or commi ch I serve)on
July 1, following the closing of the calendar year on a se
Al
ndy r vagli
Sworn to and subscribed before me this_Z_Ray of C�, 2012.
Silvia Prieto
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfi.gov under City Clerk/Board and Comm
for additional information regarding the Financial Disclosure Requirement
We are committed to providing excellent public service and safe to all who live work an la in our vibrant tropical, historic community.
P 9 P h' � P Y � P � h'
MIAMFDADE
SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
For Tax Year
Name: An CN 1'Q-P0J A S L Ending:
0
Mailing Address:
City/State/Zip:
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving: Term or Employment
4 VA I`r,4 e(.4-`�-e) µBil$LeBegan on:
Department where employed:
Work Address:
If your home address is exempt from public records pursuant to
Florida Statutes§ 119.07 please check here(read instructions): ® Work Telephone:
Home 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 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
ame of Source.of Income Address Business Activi
&EUP cam. -hr- f dr-k/r 10
c
v
I hereby swe Ir ) that t e aforesaid information is a true and correct statement.
SignatuA ,-F�S-OQs I g Date signed
MIAMIBEACH
City of Miami Sevch,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.rniamlbeachfl.Gov
CT CLERK Office CifyClerk@m iarnibeochfl,gov
Tel; 305,673.7411 , Fax;305.673.7254
Acknowlecigecrment of fines/suspension for Board Mern tears for failure
to comply with.Miami-Dade County Financial Disclasur-e Code Provision
Code Section 2-1 1.1 M .(2)
/;
Board member narr>te, �
I understond that no later-than.juty I , of each year all mernbers of.Boards.and
Committees of the City of Miami :Beach, including those of a purely a civisory nature, :am
required to comply with Miami Dade C nts.ounty Disdiosure Requirements. This means that the
members of City.Advisory Boards, whose sole or primary responsibility is to .recommend
legislation or skive advice:to-the City Commission,-must file,-even though 'you may have been
recently appointed.
You must- ile, I)ne of the-following.with the.City Ciark.of Miami.Beach, 1 700 Convention
Canter Drive, Miami'Beach, Florida, by July I -each year.
1. A".Source_of income.statement".(attached) or
.2. A"Financial.Statemenf' (attached(.or]
3. A Copy.of the person's current Federal income lax Return
Faiiure to fie, according to the Uami=Bade :County C.ocje.C;hadpter l,'General
Provision, -Section I Z may subject the person or firm to a fl ne not to.exceed
$50Q.00 or by imprisonment in the county.jaii for a.period.nat to exceed.sixty
stays, or both.
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ure: D5te: