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Rachel Umlas 12/31/2014 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 02-06-2013 Rachel Umlas 1424 S. Biscayne Point Rd Miami Beach, Florida 33141 SUBJECT: Miami Beach Human Rights Committee Congratulations! You have been appointed by the City Commission to the agency, board or committee named above for a term endin 12/3112014. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1, 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. 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 Ralph Granado 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 Employee 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 Granada,City Clerk Tel: (305)673-7411, Fax: (305)673-7254 Email CityClerk @miamibeach.gov TO Rachel Umlas RE: Miami Beach Human Rights Committee 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 Guideto.the.Sunshine Amend- ment and Code of Ethics for Public Officers and Emplo and understand that as a.member of a City of Miami Beach Board and/or Committee, I must co ply wit the financial disclosure*Ch9 uire �erve)nts of Miami-Dade County or ithe State of Florida (dependi g on th board or mmi a on ich I on July 1, following the closing of the calendar year on w h I av e d Rachel Umlas Sworn to and subscribed before me this day of 2013. t Silvia Prie Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfi.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. d MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, v,,,VW miamibeachfL ov CITY CLERK Office CityClerk@m i amibeachfi.gov Tel: 305.673.741 1 , 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 (i) .(2) Board Member.name: pL 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..been recently appointed. You must file one ofthe-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 'I-5 may subject the person or firm to a fine not-to exceed • 500.00 or by imprisonment-in the county.jail for-a period not to exceed sixty days r.both. Sign ure: ate: I t 1 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: c Mailing Address: jqZq 4 P6 City/State/Zip: l� l Filing as a: ® County Employee: ® Municipal Employee of: �\ r Position held or sought: Board where serving:Nlj �kf—, Term or Employment Began on: � Department where employed: Work Address: If your home address is exempt from public records pursuant to 30S 3z GJ�A�_Florida Statutes§119.07 please check here(rea instructions): ® ork Telephone: Home me Address. I G - Li Street Address r 2 / l� e?)J G 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 urce of Incojna Address T Business i 2i e � S QYl C7 IA4 a ova I he by sw ar(or affir )that he aforesaid information is a true and correct statement. S natur of person disclosing Date signed