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Maribel Quiala 12/31/2014 I B E A C H 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 Maribel Quiala 6225 Alton Rd Miami Beach, Florida 33140 SUBJECT: f` Miami Beach Commission For Women 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 Wanda Geist ATTACHMENTS: Letter of Appointment Oath City Code Ordinance section, applicable to agency, board or committee City Code Section 2-22, 2-239 2-249 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 Maribel Quiala RE: Miami Beach Commission For Women 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. I 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 ha served. Maribel Quiala Sworn to and subscribed before me this j day of , 201 . , Silvia Vrieto 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. /\AIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florido 33139, vrww rniamlbeachfl.aov Ci�Cler OTY CLERK Office k�miarnibaochfl.gov Tel: 305.673.741 1 , Fox:305.673.7254 Acknowledgement of fines/suspension for Board Mern bars for failure to comply with Miami-Dade County Financial Disclasur-e Code Provision Code Section 2-11.1 M .(2) Board Member name; .I unclerstond that no later-than Ju'lY '1 , of e®ch year all members of Boards.and Committees of the City of Miami:Beach, including those of a purely acivisory nature, :are required°to complywith Miami-Dade County Disclosure Requirements. This-maansihatthe members of City Advisory Boards, whose sole or primary responsibility is to .recommend 'legislation or give advice:to-t:he City GDmmissiorn,-must ftie, even though you may-Pave been recently appointed. YOU MUStfile one of the-following.-with the.City Clerk of Miami.BQach, 1 700 Convention Canter Drive, Miami'Baach, Florida, by July I -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 rile, according-t:o the Miami Dade:County C.ocie C; hapter 1, General Provision, -Section I Z may subject the person or firm to a fl ne not to.exceed $500..00 or by imprisonment in the county.jaII for a.period r��t to exceed.sexty clays, or both. Signature: pate.: MIAMFQADE OM SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name/Initial Last Name Disclosure For Tax Year Name: � � j, Ending:C:�`.. Mailing Address: L"Vad (-t City/State/Zip: AU Filing as a: ® County Employee: c� a ® Municipal Employee of: _, �,r• Position held or sought: zz Board where serving: Term or Employme t N' //ez, 6i gr7 - 6/ OM Began on: -� Department where employed: ry 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 pMjp of Sour of Incpme Ador ess Business Activity . 1_ V S I Ereby swear(or affirm)that the aforesaid information is a true and correct statement. 'U Signature of person disclosing Date signed