Alan Lips 12/31/2014 A\ E A C H
I I Loy
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 @miamibeoch.gov
11/15/2012
Alan Lips
2120 NE 190 Terrace
North Miami Beach, Florida 33179
SUBJ4ECT' ` Convention Center Advisory Board
Congratulations! You have been reappointed by Commissioner Jorge Exposito
to the above referenced agency, board or committee for a term ending: 1213112014.
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.
Sincerel ,
Rafael E. Granado
City Clerk
cc: Saul Frances, Parking Director
Lenny Timor
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 Granado,City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
Email CityClerk @miamibeach.gov
TO Alan Lips
RE: Convention 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 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 Employee and understand that as a member of a City
of Miami Beach Board and/or Committee, I must com wi the financial disclosure*requirements of
Miami-Dade County or ithe State of Florida (depen ' g on he board or committee on which I serve) on
July 1, following the closing of the calendar year o whic I have served.
Alan Lips 0
Sworn to and subscribed before me this Z 3 day of , 2013.
Isa el Satchel)
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.
MIAMIBEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www rniaml6eachfl.QOv
CfTY CLERK Office CilyClerk @m iornibaochfl.gov
Tel: 305,673.7411 , Fax:305.673.725A
Acknowlecigement of fines/suspension for Board Morn hers for failure
to comply with.Miami-Dade County Financial Disclasur-e Code Provision
Code Section 2-11.1 (i) (2)
Board Member
name: &,AL
.I understand that no later-than Ju'[Y 1 , of loch year all members of Boards and
Committees of the City of Miaml :beach, Including those of a purely a civisory nature,are
required-to comply with Miami-Dade County Disclosure Requirements. This-meanslhatthe
members of City.Advisory Boards, whose sole or primary responsibility is to .recommend
legislation or.give.aivice:to-the City Commission,must file, even though 'you may have been
recently appointed.
You mustttfe ®ne Df,the-following-with the.City Cleric.of Miami.Beach, 1 700 Convention
Center'Drlve, Miami Beach, Florida, by Duty I -each year.
1. A".Source.of Income-Statement".(attached) or
.2. A"Financial.Statement' (attached(.or]
I A Copy.of the person's current Federal income Tax P.etum
Faliure to rtie, according-to the -Miami-;Dade.County Code .C; hadpter 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,jdil for a.period.nc>fi to exceed sixty
clays, or bat .
Signature: Date':
MIAMFQADE
OM I SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
For Tax Year
Name: LA N1 62S Ending:
0
Mailing Address:
City/State/Zip:
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:Oou��s , '
Board where serving: Term or Employment
Began on:
Department where employed:
Work Address: ✓���'`�i �� / .3�/tv
If your home address is exempt from public records pursuant to
Florida Statutes§ 119.07 please check here(read instructions): ® Work Telephone:
Home Address: 2/Z o /16 l�0 korc&
Street Addres
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 yweaor affirm) that the aforesaid information is a true and correct statement.
z; /3
Signature of person disclosing ate signed