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Harriet Halpryn 12/31/2014 NMI A NAI 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 Granada, City Clerk Tel: (305) 673-7411, Fax: (305)673-7254 Email CiyClerk @miamibeach.gov 1/3/2013 Harriet Halpryn 7935 Biscayne Pt. Circle Miami Beach, Florida 33141 SUBJECT Parks and Recreational Facilities Board Congratulations! You have been reappointed by Commissioner Jonah M. Wolfson 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, Rafa I E. Grana o City Clerk cc: Saul Frances, Parking Director Kevin Smith 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. MIAMI BEACH 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 Harriet Halpryn RE: Parks and Recreational Facilities 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 have served. Harriw,41p n Sworn to and subscribed before me this P_I�day of kel 13. h � 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 safe hto all who live- work and play in our vibrant- tropical, historic community. �► MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach,Florida 33139, www miamibeachfl.aov CITY CLERK Office CityClerkCmiarnibeachfl.gov Tel: 305.673.7-411 , Fax: 305.673.7254 Acknowledgement of fines/.suspension for Board Mern hers for.failure to comply with Miami-Dade County Financial.Disclosure Code Provision Code .Section 2--11.1(1) .(2) Board Member name.. 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-fiie,: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 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 not to exceed sixty days, or both. Sig t e: Date: 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: )Ialo YVa Ending: L � j jll Mailing Address: City/State/Zip: j C417 �Lb) If r: Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: Board where serving: 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 I hereby swear(or affirm)that the aforesaid information is a true and correct statement. 14�llrel '011d Sig re of perso to in Date signed