Jefff Blumenthal 12/31/2014 r
NA�I NMI 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 CityClerk @miamibeach.gov
2/4/2013
Jeff Blumenthal
9 Island Ave. Apt. #1604
Miami Beach, Florida 33140
Golf Advisory Committee
Congratulations! You have been reappointed by Commissioner Deede Weithorn
to the above referenced agency, board or committee for a term ending: 12131/2014.
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,
Rafael E. Granado
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.
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 Jeffrey M. Blumenthal
RE: Golf Advisory Committee
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 a member of a City
of Miami Beach Board and/or Committee, I must comply with the financia disclosur *requirements of
Miami-Dade County or ithe State of Florida (dependin on the board o ttee which I serve)on
July 1, following the closing of the calendar year whic ave
Je rey M. umenthal
Sworn to and subscribed befo me this day of , 2013.
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.
Last First me Mi e itial
Home Address n� � City /U State J Zip 10 e
ome Teleph a Work elepho a lular Telephone may address
. /� .� rdtsi
Business a e
Business Address C' State Zip Code
Professional License(describe) Expires:
Attach a copy of the license
Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards and committees shall be affiliated with the city;
this requirement shall be fulfilled in the following ways: a.An individual shall have been a resident of the city for a minimum of six
months;or b.An individual shall demonstrate ownershipfinterest for a minimum of six months in a business established in the city for a
minimum of six months.
• Resident of Miami Beach for a minimum of six(6) moot s: Ye or No
• Demonstrate an ownership/interest in a business in Miami each for a minimum of six month : Yes or No
•Are you a registered voter in Miami Bea es or No
• I am now a resident of: North Beach outh Beach Middle Beach
• I am applyin an appoent ec use ve specilitie , k wled a and experience. Please list below*
•Are you presently a registered lobbyist with the City of Miami Beach?Yes Lor No
Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that
only t�(3)choices will be observed by the City Clerk's Office,(Regular Boards of City)
®Affordable Housing Advisory Committee ® Fine Arts Board ® Normandy Shores Local Government
Neighborhood Improvement
®Art in Public Places Committee ®Gay, Lesbian, Bisexual and Transgender Q Parks and Recreation Facilities Board
Enhancement Committee GLB
Q Beautification Committee ®Golf Advisory Committee's Z ®Personnel Board
® Board of Adjustment* ® Health Advisory Committee ® Planning Board*
® Budget Advisory Committee ® Health Facilities Authority Board ® Police Citizens Relations Committee
®Capital Improvements Projects Oversigh ® Hispanic Affairs Committee ® Production Industry Council
Committee
®Committee on the Homeless ® Historic Preservation Board ®Safety Committee
®Committee for Quality Education in MB ® Housing Authority Q Single Family Residential Review Panel
Q Community Development Advisory ® Loan Review Committee Q Sustainability Committee
Q Community Relations Board ® Marine Authority ®Tennis Advisory Committee
Q Convention Center Advisory Board ® Miami Beach Commission for Women ®Transportation and Parking Committee
® Debarment Committee ® Miami Beach Cultural Arts Council ®Visitor and Convention Authority
® Design Review Board* ® Miami Beach Human Rights Committee ®Youth Center Advisory Board
® Disability Access Committee Q Miami Beach Sister Cities Program ®Waterfront Protection Committee
BC—Application-2
I
* Board Required to File State Disclosure Form
If you seek appointment to a professional seat(e.g.,lawyer,architect)on the Board of Adjustment,Design Review Board,
Historic Preservation Board,or Planning Board,attach a copy of your currently-effectively license,and furnish the
following information:
Type of Professional License License Number ,
License Issuance Date ,and License Expiration Date
Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board:Yes No Years of Service:
2. Present participation in Youth Center activities by your children Yes No . If yes, please list the names of your children, their
ages and which programs. List below:
Child's name: Age: Program:
Child's name: Age: Program:
•Have you ever been convicted of a felony:Yes r o If yes, please explain in detail:
• Do you currently have a violation(s)of City of Miami Beach codes:Yes r No f yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money:Yes or o If yes, explain in detail
•Are you currently serving on any City Boards or Committee es or No If yes;which boardi �CA gy
•What organizations in the City of Miami Beach do you currently hold membership in?
Name Title
Name Title
• List all properties owned or have n interest in,which a e located within the City of Miami Beach:
• I am now employed by the City of Miami Beach:Yes (or Which department?
• Pursuant to City Code Section 2-25(b): Do you have a parent , spouse ,child brother ,or sister who is
employed by the City of Miami Beach?Check all that apply. Identify the department(s):
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for
appointment. It is being asked to comply with federal equal opportunity reporting requirements.
Ethnic Origin: Check one only(1)
Gender: Mal 9 Female
i e Not of Hispanic Origin):All persons having origins in any of the original peoples of Europe,North Africa or the Middle East.
African-American/Black (Not of Hispanic Origin):All persons having origins in any of the Black racial groups of Africa.
Hispanic: All persons of Mexican,Puerto Rican,Cuban,Central or South American,or other Spanish culture or origin,regardless of race.
Asian or Pacific Islander:All persons having origins in any of the original peoples of the Far East,Southeast Asia,the Indian Subcontinent,or
the Pacific Islands. This area includes,for example,China,India,Japan,Korea,the Philippine Islands and Somoa.
American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America,and who maintain
Cultural identification through tribal affiliation or community recognition.
Physically Challenged: Yes or No
BC-Application-2
Employment Status: Employed Retired Homemaker Other
Y Y
Please remember to attach a current resume and a copy of any applicable
professional license.
Attach additional sheets, if necessary, to provide required information.
BC-Application-2
i
NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE
MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO,THE FOLLOWING:
oProhibition from directly or indirectly lobbying city personnel(Miami Beach City Code section 2-459).
oProhibition from contracting with the city(Miami-Dade County Code section 2-11.1).
o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office(Miami Beach City
Code section 2-26).
oRequirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1).
o CMB Community Development Advisory Committee: prohibition,during tenure and for one year after leaving office,from having any
interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you
have business or immediate family ties(CFR 570.611).
Upon request,copies of these laws may be obtained from the City Clerk.
I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION, AND I HAVE RECEIVED, READ AND
WILL ABIDE BY CHAPTER 2, ARTICLE VII — OF THE CITY CODE "STANDARDS OF CONDUCT FOR CITY OFFICERS,
EMPLOYEES AND AGEN EMBERS."
�J v
Applican s i Date N e of Applicant(PLEASE PRINK
Recei i he City C s Office by.
l � 3 �-33 �
ame of Deputy Clerk /Control No. � Date
BC—Application-2
Robert M. Blumenthal
1730 North View Dr.
Miami Beach,FL.33139
Telephone: 786-317-8973
Email:Blumenthal.Robert(agmail.com
Education
University of Miami
Miami,FL
❑ Bachelors of Business Administration 2002
Professional
Distressed Properties/Investments 2009-
0 Commercial/Residential
o Locate,buy and redevelop
Residential/commercial assets
and notes.
Pointe Development JV Partnership 2007-2008
❑ Shopping Center Development
o Locate land suitable for shopping center
development,find tenants,and co develop
centers with Reits and private
investors.
Gadinsky Real Estate 2006-2007
Associate
❑ Development/Brokerage
o Aquire land suitable for shopping center
development,leasing,and responsible
for raising necessary equity for construction
and acquisition of land.
The Koniver Stern Group 2004-2006
Sales Associate
❑ Sales/Leasing
o Brokering land,shopping centers,leasing
and other commercial transactions.
Tate Enterprises 2003
❑ Coordinator
o Responsible for coordinating construction
sites and parking garage sites for expansion
of office buildings,apartment development,
and retail expansion.
The Comras Company 2002-2003
Intern
❑ Development/Leasing
o Assisted in development projects,leasing
deals,and other commercial real estate
transactions.
Smith Barney Miami/St.Louis 1999-2001
Intern
❑ Research/Client Relations
o Researched equities and responsible for building client
base.
1
City of Miami Beach
1700 Convention Center Drive,
Miami Beach, Florida 33139,
CITY CLERIC'S OFFICE CityClerk @miamibeachfl.gov
Telephone-. 30S.673.7411 Fax: 305.673.7254
Acknowledgement of fines/suspension for Board Members for failure to comply with Miami-Dade
County Financial Disclosure Code Provision Code Section 2-11.1(i) (2)
Board Member's Name: i
I understand that no later than July 1. of each ygar 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 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 file, according to the Miami-Dade County Code Chapter 1, General Provision, Section 1-5,
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, or both.
1,3
Signature Date
BC—Application-2
I
i
MIAMIDADE
SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
For Tax Year
Name: 1"wy // A Ending:
Mailing Address:
319 9
City/State/Zip: %fi� 9,60-�. - X_
Social Security Nl.'...+tr•
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) a aforesaid information is a true and correct statement.
Si a o rson 011scl sing Date signed