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Michael Bath 12/31/2014 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 1/10/2013 Michael Bath 7135 Collins Ave. #814 Miami Beach, Florida 33141 SUBJECT: Gay, Lesbian, Bisexual and Transgender (GLBT) Congratulations! You have been reappointed by Commissioner Jerry Libbin 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, X/4,00(� F_- - Rafael E. Granado City Clerk cc: Saul Frances, Parking Director Diana Fontani 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. r 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 6 r i TO Michael Bath RE: Gay, Lesbian, Bisexual and transgender(GLBT) 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 2-71.1 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 whic a,vpe serve Michael Bath 'tz-- Sworn to and subscribed before me this g day of 6,-0041, 2012. ft—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. CITY OF IVIIA11111 BEACH [MIA/\Al BEACH BaaA.Ra.z..,do< yt s,aa7EMIV $ E APPI,,.ICA `1ON FORM Bath Michael E. Last Name First Name Middle Initial 7135 Collins Avenue,Apt.814 Miami Beach FL 33141 Home Address City State Zip Code N/A 305.576.5010 305.796.7057 m bath(c-thetaskforce.org Home Telephone Work Telephone Cellular Telephone Email address National Gay and Lesbian Task Force Position: Events Director Business Name 801 Arthur Godfrey Road, Suite 402 Miami Beach FL 33140 Business Address City State Zip Code Professional License(describe) N/A Expires: Attach a copy of the license 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 for a minimum of six months. • Resident of Miami Beach for a minimum of six (6) month : Yes or No • Demonstrate an ownership/interest in a busines in Miami ch for a minimum of six months: Yw No x • Are you a registered vo;'Ei each: Yes x r No• I am now a resident of: Beach x out Beach Middle Beach• I am applying for an app e I have special abilities, knowledge and experience. Please lash below: As producer of Winter Party Festival, one of my focuses is attracting LGBT visitors to Miami Beach. M; I co { • Are you presently a registered lobbyist with the City of Miami Beach. Yes No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice,PI2Ne k6te that only three 3 choices will be observed by the City Clerk's Office. (Regular Boards of City) ,:1 o ❑Affordable Housing Advisory Committee ❑ Fine Arts Board - ❑Normandy Shores Local Government Neighborhood Improvement ❑Art in Public Places Committee xGay, Lesbian, Bisexual and Transgender ❑ Parks and Recreation Facilities Board Enhancement Committee GLBT 0 Beautification Committee ❑Golf Advisory Committee ❑ Personnel Board ❑Board of Adjustment* ' ❑ Health Advisory Committee ❑ Planning Board** ❑ Budget Advisory Committee ❑ Health Facilities Authority Board ❑ Police Citizens Relations Committee ❑Capital Improvements Projects ❑ Hispanic Affairs Committee 0 Production Industry Council Oversight Committee ❑Committee on the Homeless ❑ Historic Preservation Board ❑Safety Committee ❑Committee for Quality Education in MB ❑ Housing Authority ❑Single Family Residential Review Panel 0 Community Development Advisory ❑ Loan Review Committee ❑Sustainability Committee ❑Community Relations Board ❑Marine Authority ❑Tennis Advisory Committee ❑Convention Center Advisory Board ❑Miami Beach Commission for Women ❑Transportation and Parking Committee ❑ Debarment Committee ❑Miami Beach Cultural Arts Council ❑Visitor and Convention Authority ❑ Design Review Board* ❑Miami Beach Human Rights Committee ❑Youth Center Advisory Board ❑ Disability Access Committee ❑Miami Beach Sister Cities Program ❑Waterfront Protection Committee * Board Required to File State Disclosure Form If you seek appointment to a professional seat(e.g., lawyer,architect)on the Board of Adjustment, Design Review Board, Historic Preservation Board,or Planning Board,attach a copy of your currently-effectively license,and furnish the following information: Type of Professional License License Number , License Issuance Date ,and License Expiration Date C:\Documents and Settings\mbath\Local Settings\Temporary Internet Files\Content.0utlook\BAPZTUR4\BC Application(2).doc 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 I.J No Years of Service: 2. Present participation in Youth Center activities by your children Yes ID 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:Yes r No x f yes, please explain in detail: • Do you currently have a violation(s)of City of Miami Beach codes:.Yes No x yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes La o No x yes, explain in detail •Are you currently serving on any City Boards or Committees:Yes x r No Ca. If yes;which board? GLBT Business Enhancement Committee •What organizations in the City of Miami Beach do you currently hold membership in? N/A Name Title Name Title • List all properties owned or have an interest in,which are located within the City of Miami Beach: N/A . I am now employed by the City of Miami Beach:Yes o No x hich department? • Pursuant to City Code Section 2-25(b): Do you have a parent , spouse L3, child U brother�, or sister who is employed by the City of Miami Beach?Check all that apply. Identify the department(s):_No 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. Ethnic Origiru.Check one only(1) G ale x emale X Whit (No ispanic 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,or the Pacific Islands. This area includes,for example,China, India,Japan,Korea,the Philippine Islands and Somoa. American Indian or Alaskan Nativ ns having origins in any of the original peoples of North America,and who maintain Cultural identification throw h trib affiliation or ommunity recognition. Physically Challenged: Yes or T4 Employment Status: ployDx Ret ired _ Homemaker L:3 Other U1 Please remember to attach a current resume and a copy of any applicable professional license. Attach additional sheets, if necessary, to provide required information. C:\Documents and Settings\mbath\Local Settings\Temporary Internet Files\Content.Outlook\BAPZTUR4\BC Application(2).doc NOTE: IF APPOINTED,YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO,THE FOLLOWING: • Prohibition from directly or indirectly lobbying city per (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 City Code section 2-26). • Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1). • 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 I 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." r Applicant's gnature Date Name of Applicant(PLEASE PRINT) Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date C:\Documents and Settings\mbath\Local Settings\Temporary Internet Files\Content.Outlook\BAPZTUR4\BC Application(2).doc f Michael Bath 7135 Collins Avenue,Apt.814 305.796.7057 Miami Beach, FL 33141 mbathl7@aol.com PROFESSIONAL EXPERIENCE National Gay and Lesbian Task Force,Miami, FL,July 2004—Present Events Director • Plan and produce major nonprofit organization's two largest annual fundraising events, a gala dinner and a six-day festival,generating gross revenue of close to$1.5 million. • Create budgets and strategic plans for both events, including setting prices for sponsorship packages and event tickets. • Negotiate, review and/or approve all contracts and other agreements related to the two events. • Develop and implement marketing strategies for both events, including planning content for and maintaining event websites. • Develop festival programming schedule of approximately 20 events designed to achieve fundraising objectives and deliver quality experience for guests. • Manage relationships with major corporate sponsors, international partners and individual donors. • Recruit and direct volunteers to assist in the execution of events: work closely with executive committee of approximately 20 members for each event; oversee volunteer base of over 75 for the gala and over 500 for the festival. • Manage Miami office operations,two full-time staff members and various contractors. GaySouthFlorida,Inc.,Fort Lauderdale, FL July 2003—May 2004 Events Director • Produced business expo with 100 exhibitors and over 3,000 attendees. Responsible for all publicity efforts, booking of entertainment acts and recruitment of sponsors.Also created and managed exhibitor relations campaigns. Ultimately responsible for all event logistics. • Planned and coordinated monthly business networking luncheon with average attendance of 120. Negotiated and contracted with venues,solicited sponsors,booked guest speakers and conducted all marketing activities. • Successfully launched new networking luncheons in Palm Beach and Miami-Dade counties. • Produced various special events,including annual Holiday Cruise and launch party for company's new magazine. • Arranged company participation in other events,including concerts and speaking engagements. • Managed Events Department budget. Hughes Hubbard&Reed LLP,New York,NY,and Miami, FL,January 1996-February 2003 Director of Marketing and Communications • Launched legal seminar series,consisting of 10 to 15 programs per year.Oversaw all aspects of alumni receptions and other special events. • Managed all media relations activities,including writing media releases,pitching articles to trade and business publications and coaching attorneys on interview protocol. • Created firm's website working with design company. Managed site content,including writing and editing text for all pages. Established policies and procedures for site maintenance. • Wrote and designed all business development materials,including internal and external newsletters,advisories,brochures,announcements,directories and annual report. v • Worked with Systems Department to develop and maintain centralized electronic library of marketing materials. Broadcast Music,Inc.(BMI), New York, NY, November 1988-July 1995 Manager, Industry Relations • Oversaw trade show marketing program,including budgeting, booth design,staff training,pre- and at-show promotions and lead follow-up system. • Served as Senior Editor for company's promotional magazine. Directed all aspects of content and design, including writing or editing all articles. • Produced promotional materials for sales and marketing programs,including brochures,direct mail pieces,fact sheets and promotional videos. • Directed all public relations activities,including issuing media releases and writing and pitching articles to the trade and business press.Served as spokesperson to the media. Managed relationships with trade associations from over 10 industries. COMMUNITY SERVICE Heritage of Pride,New York, NY, May 1989-June 2001 Producer,The Rally, 1997-1999 • Oversaw all aspects(creative and logistical)of outdoor event featuring over 25 speakers and performers with an audience of 10,000. • Booked speakers and performers and directed stage production. • Created and managed all aspects of marketing program involving event program,display ads, posters and fliers. • Recruited and trained team of volunteer managers and staff of more than 125 volunteers. Writer/Producer,Annual Thank You Party and Awards Ceremony, 1996 and 1997 • Planned and executed all aspects of reception and Awards Ceremony attended by 500 people. • Booked presenters,emcee,performers and DJ;wrote script for awards ceremony;directed 90- minute awards ceremony. • Developed slide show choreographed to music. Media Director, 1994-1996 • Launched media relations campaign garnering local and national coverage. • Served as editor of New York City Pride Guide, re-launched and served as editor of The Lavender Line,the organization's quarterly newsletter. • Created and executed plan for advertising placements,poster distribution and public service announcements. Empire State Pride Agenda, New York, NY,October 1998-October 2000 Assistant Stage Manager,various events • Acted as production liaison to Cyndi Lauper during Spring 2000 fundraising event;supervised sound crew at annual black-tie fundraising dinners,which featured keynote speeches by Hillary Rodham Clinton(2000),President Bill Clinton(1999)and Vice President Al Gore(1998). EDUCATION B.S.,Broadcasting,University of Florida,May 1988 M I A M I•DADE SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name/Initial Last Name Disclosure For Tax Year Name: 1 r .c \ c, Ending:_ Mailing Address: City/State/Zip: Social Security Number: Filing as a: ® County Employee: ® Municipal Employee off: Position held or sought: G-U� CG%O-V- c Board where serving: Term or Employment U Began 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: I 'v I S,C # �\ 4 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 Name of Sour a of Income Address Busi a Activity tLv Y hereby swear(or 'rm)that the afore " information is a true and correct statement. Signature ot person disclosing Date signed 1 l BEAUH City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK'S OFFICE CityClerk @miamibeachfl.gov Telephone: 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's Name: f\/",\ = �� G- 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 both. Signature Date CADocuments and Settings\mbaftLocal Settings\Temporary Internet Files\Content.Outlook\BAPZTUR4\BC Application.doc