Ellen Brazer 12/31/2014 1 A l i �� t1 i i 1
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
11/15/2012
Ellen Brazer
9 Island Ave. # 1606
Miami Beach, Florida 33139
SUBJECT: Fine Arts Board
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.
Sincerel ,
R fael E. Granado
City Clerk
cc: Saul Frances, Parking Director
Gary Farmer
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 Ellen Brazer
RE: Fine Arts 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 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 ve served.
Ellen Brazer l 3
Sworn to and subscribed before me this day of • ,212.
i
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.
/\AIAMIBEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33 139.,
www.rniam16eachF(.AOy
CITY CLERK Office - CilyClerk @m iami6eachfl,9ov
Tel; 305,673.7411 , Fax;305.673.7254
Acknowrlecigement of fines/suspension for Board Mein bers for failure
to comply with Miami-Dade County Financial Disclosure Code Provision
Code Section 2-11.1(i) .(2)
• v
Board Member name: & 7
.l understand that no later-than.: UIX 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 rnsansthat the
members of City.Advisory Boards, whose sole or primary responsibility is to .recommend
'legislation or.giveadvice:to-the City Commission, mustfile,.even though -you may-have been
recently appointed.
YDU -must-Ile, one of the-following with the.City Clark-of Miami Bea ch, 1 700 Convention
Canter Drive, Miami'Baach, Florida, by,duly 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 Tax Return
Failure to foie, according-to the Miami Dacie.County Dode.chapter 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 jdii for a.period nDt to exceed,sixty
clays, or both.
f 1
b l �
Signature: Date-:
MAW
UADE
SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
For Tax Year
Name: 45-L/L 6-Al A Z er, Ending:
Mailing Address. o �Q/!4 at�-�bll, E)-G
City/State/Zip: �J
9 S @- bi UW.-bM
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving: Term or Employme t
60A�'-D 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
I hereb swear(or affirm)that the aforesaid information is a true and correct statement.
Signature of person disclosing Date igned