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Esther V. Egozi Choukroun 12/31/14 I �I r_ 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 January 25, 2013 Esther V. Egozi Choukroun 21 La Gorce Circle Miami Beach, Florida 33141 SUBJECT: SCOTT RAKOW YOUTH CENTER ADVISORY BOARD Congratulations! You have been reappointed by Commissioner Michael G6ngora to the board or committee named above for a term ending: 12/31/2014. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1 st, 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 305-673-7411. Please read the enclosed materials carefully. Congratulations again and good luck. Sincerely, Rafael E. Granado City Clerk cc: Saul Frances, Parking Director 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 Amendment and Code of Ethics for Public Officers and 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 Esther V. Egozi Choukroun RE: Scott Rakow Youth Center Advisory 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 appoint 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 an 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 Cit 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 ha 7L stlher V. Egozi Choukrour Sworn to and subscribed before me this 60day of 013. Liliam R. Hatfiel 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. /\A11 I A/\A I B E.6C H CITY OF MIAN11 BEACH BOA RD &_ U"k- M110ITTEE AF' EI ATION FORM NAME: V aviA " V., L t Name ' irslNa a Middle Initial HOME ADDRESS: Apt No. House N ./Street City State Zip Code PHONE: _T 03 - C L-1- I W Hom Work Fax� Email address �Business Name: iL Position: OCT Address: '02. 15is 1 aaCl' AlAiftfle 130, No. Qreet City State Zip Code Professional License(describe) Expires: Attach a cony of the li4etise 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) mont s-Yes or No • Demonstrate an ownership/interest in a busine in Miami each for a minimum of six(6) months:Yes 01(0> • Are you a registered voter in Miami BeachlZes,,Aor No • (Please circle one): I am now a resident of: North Beach South Beach <j iddle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: •Are you presently a registered lobbyist with the City of Miami Beach?Yes r 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 Advisory Committee Marine Authority Art in Public Places Committee Miami Beach Commission for Women Beautification Committee Miami Beach Cultural Arts Council Board of Adjustment* Miami Beach Human Rights Committee Budget Advisory Committee Miami Beach Sister Cities Program Capital Improvements Projects Oversight Committee Normandy Shores Local Government Neigh. Improvement Committee on the Homeless Parks and Recreation Facilities Board Committee for Quality Education in MB Personnel Board Community Development Advisory Planning Board* Community Relations Board Police Citizens Relations Committee Convention Center Advisory Board Production Industry Council Debarment Committee Public Safety Advisory Committee Design Review Board* Safety Committee Disability Access Committee Single Family Residential Review Panel Fine Arts Board Sustainability Committee Gay, Lesbian, Bisexual and Trans ender GLBT Transportation and Parking Committee Golf Advisory Committee Visitor and Convention Authority Health Advisory Committee Waterfront Protection Committee Health Facilities Authority Board Youth Center Advisory Board Hispanic Affairs Committee Historic Preservation Board Housin Authority Loan Review Committee *Board Required to File State Disclosure Form *e(jaVk4j!vWjrd, pl- se�d' ate youraffiliatic ith th cott ' kow Cente� ®� 1. Past service 5 n the Yout enter Advisory Boa g. esqNo Yeates Service: 2. Present participation in Youth Center activities ur child a No . If yes, please list the names of your children, their ages, and which programs. List below: Child's name: Age: Program:Ole m Child's name:MI Age: Program: _fWKf.SC1-*qk 4- FACLER\$All\aFORMS\BOARD AND COMMITTEES\BC Application.doc (ti-i® to *Have you ever been convicted of0lony: Yes (:No� If yes, please explao detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes or No If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes (r.No . If yes, explain in detail • Are you urrently serving on an City Boards or Committees: Yes •r NO If es; which board? • What organizations in the City of Miami Beach do you currently hold membership in. Name: Title: Name: Title: ist all properties ned or have an interest in, which are located within the City of Miami Be p h ch g� ��� • I am now employed by the City of Miami Beach: Yes CO Which department? • Pursuant to City Code Section 2-25(b): Do you have a parent , spouse , chil , brother , or sister who is employed by the City of Miami Beach?Check all that apply. Identify the department(s): 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 a ual opportunity reporting requirements. Gender: Male Female Ethnic Origin: Check one only (1) White (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 affili ion or community recognition. Physically Challenged: Yes r No . Employment Status: Employed Retired Homemaker Other NOTE: If appointed,you will be required to follow certain laws which apply to city board/commiftee members. These laws include, but are not limited to,the following: • 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 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). (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. N hereb 5_est o the a ccuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article e C' Code "Standards of Con ct for Cei Officers, Employees and Agency Umbers." Applicant's Signature Date "4` Name of Applicant(PLEASE PRINT) +� 2 S7 �. Please attach a copy of your resume to this.applicatio NOTE:Applications wil ai on file for a period of one(1)calendar year._ Received in the City Clerk's Office by: Date:_/ /2010 Control No. 2 Date: /2010 Na a of Deputy Clerk ESTHER EGOZI CHOUKROUN 21 LA GORCE CIRCLE MIAMI BEACH, FL 33141 EEGOZI@FLAGLERINVESTM ENT.COM 305.903.6621 ESTHER EGOZI CHOUKROUN IS CURRENTLY THE CHIEF FINANCIAL OFFICER OF FLAGLER INVESTMENT PROPERTY GROUP, A PRIVATELY HELD COMMERCIAL REAL ESTATE GROUP SPECIALIZING IN PRIVATE EQUITY, ASSET MANAGEMENT, CONSULTING AND BROKERAGE SERVICES. SHE 1S ALSO RESPONSIBLE FOR THE OVERSIGHT OF THE FIRM'S LEGAL AND ADMINISTRATIVE AFFAIRS. MS EGOZI CHOUKROUN ALSO CURRENTLY SERVES ON THE BOARD OF DIRECTORS OF PERFUMANIA HOLDINGS, INC. (NASDAQ: PERF - WWW.PERFUMANIA.COM) AND WAS PREVIOUSLY A MEMBER OF THE BOARD OF DIRECTORS OF PARLUX FRAGRANCES, INC. (2000-2012 / NASDAQ: PARL - WWW.PARLUX.COM). IN ADDITION TO HAVING SERVED AS CHAIRMAN OF THE NOMINATING COMMITTEE_ OF PARLUX FRAGRANCES, INC., SHE WAS A MEMBER OF THE AUDIT, COMPENSATION AND INDEPENDENT COMMITTEES. MS EGOZI CHOUKROUN WAS FORMERLY SENIOR VICE PRESIDENT & DEPUTY GENERAL MANAGER OF BANQUE NATIONALE DE PARIS, MIAMI AGENCY (1984-1996 WWW.BNPPARIBAS.COM), SPECIALIZING IN PRIVATE BANKING, TRADE FINANCE AND DOMESTIC LENDING. FROM 1997 THROUGH 19999 SHE WAS DIRECTOR OF INTERNATIONAL PHILANTHROPY AT THE MOUNT SINAI MEDICAL CENTER FOUNDATION (WWW.MSMCFOUNDATION.ORG), AND THROUGH 2002 WAS EXECUTIVE DIRECTOR OF THE WOMEN'S INTERNATIONAL ZIONIST ORGANIZATION FOR FLORIDA (WWW.WIZOFL.ORG). MS EGOZI CHOUKROUN IS CURRENTLY A MEMBER OF THE EDUCATIONAL EXCELLENCE SCHOOL ADVISORY COUNCIL (EESAC) FOR MIAMI BEACH SENIOR HIGH SCHOOL; SHE ALSO CURRENTLY SERVES AS A MEMBER OF THE ADVISORY BOARD OF THE SCOTT RAKOW YOUTH CENTER, WHICH 1S RUN BY THE PARKS & RECREATION DEPARTMENT OF THE CITY OF MIAMI BEACH. MS EGOZI CHOUKROUN RECEIVED HER BA DEGREE IN FINANCE.AND INTERNATIONAL BUSINESS FROM FIU (1984), GRADUATING SUMMA CUM LAUDE AND ELECTED TO BETA GAMMA SIGMA. SHE IS FLUENT IN ENGLISH, SPANISH, FRENCH AND PORTUGUESE. 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: Ending: ZC7 Mailing Address: 5✓�- �°--.� ��-- City/State/Zip: Acct z, 31 ( . LIr*i Social Security Number: Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: Board where serving: S�`� Term or Employment 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: 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 Source of Income Address Business Activity L VV` I hereby swear(or affirm)that the aforesaid information is a true and correct statement. J Ar,) Signature of person disclosing Date signed AM I BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vrww miamibeochfl.Aov CITY CLERK Office CityClerkCmiamibeochfl..gov Tel: 305.673.7,411 , Fax: 305.673.7254 Acknowledgement of fines/-suspension for Board Mein hers for.failure to comply with Miami-Dade County Financial .Disclosure Code Provision Code Section 2-11.1(i) (2) Board Member.name: � C4�„t�/� 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..bee.n 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 Retum 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 f ne not to exceed $500.00 or by imprisonment In the county.jail for a period ncot to exceed sixty days, or.both. J A-A L? Signature: .Date: