Eric Lawrence 12/31/2014 11A A/V I BE: ,H
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
2/14/2013
Eric Lawrence
1119 Hardee Rd
Coral Gables, Florida 33146
S��JECT u Loan Review Committee
Congratulations! You have been reappointed by Commissioner Michael G6ngora
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,
R ael E. Granado
City Clerk
cc: Saul Frances, Parking Director
Rocio Soto
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 Granada,City Clerk
Tel: (305)673-7,411,Fax: (305)673-7254
Email CityClerk @miamibeach.gov
TO . Eric Lawrence
RE: Loan Review 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, a understand that as a member of a City
of Miami Beach Board and/or Committee, I must comply wit th financial disclosure*requirements of
Miami-Dade County or ithe State of Florida (depen ' o e oard or committee on which I serve)on
July 1, following the closing of the calendar year w I e served.
Eric Lawrence
Sworn to and subscribed before me this l q day of�(7AAC-ra2a13.
y
ilvia Pri ko
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.
CITY OF MIAMI BEACH
MIAMI
— BOARD AIV® COMMITTEE APPLICATION FORM
NAME: Lawrence Eric t
Last Name k1_�C.�G r r6r1k
HOME ADDRESS: - - �t � L,a s Middle
Apt No. House No./Street City State 'Zip Code
PHONE: 305-401-8787 305-401-8787 eric @theanglersresort.com
Home Work Fax Email Address
Business Name: The Anglers Boutique Resort Hotel Position: Owner
Address: 660 Washington Avenue Miami Beach FL 33039
No. Street City 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 ownership/interest for a minimum of six months in a business established in the city.
• Resident of Miami Beach for a minimum of six(6) months: Yes
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6) months: Yes
•Are you a registered voter in Miami Beach: Yes
• (Please circle one): I am now a resident of: North Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
Hotel Owner and Developer.
•Are you presently a registered lobbyist with the City of Miami Beach? No
Please list your preferences in order of ranking [1]first choice [2] second choice, and [3]third choice. Please note that only three (3)
choices will be observed by the City Clerk's Office. (Regular Boards of City)
Art in Public Places Committee Miami Beach Commission for Women
Beautification Committee Miami Beach Cultural Arts Council
Board of Adjustment* Miami Beach Human Rights Committee
3 Budget Advisory Committee Miami Beach Sister Cities Program
Capital Improvements Projects Oversight Committee Normandy Shores Local Gov't Neigh. Improvement
Committee on the Homeless Parks and Recreation Facilities Board
Committee for Quality Education in MB Personnel Board
Community Development Adviso Planning Board*
Community Relations Board Police Citizens Relations Committee
[21 Convention Center Advisory Board Production Industry Council
Debarment Committee Public Safety Advisory Committee
Design Review Board* Safety Committee
Disability Access Committee Single Family Residential Review Panel
Fine Arts Board Sustainability Committee
Ga , Lesbian, Bisexual and Trans ender GLB Trans ortation and Parking Committee.
Golf Advisory Committee 1 Visitor and Convention Authority
Health Advisory Committee Waterfront Protection Committee
Health Facilities Authority Board Youth Center Advisory Board
Hispanic Affairs Committee
Historic Preservation Board
Housing Authorit
Loan Review Committee *Board Required to File State Disclosure form
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: Years of Service:
2. Present participation in Youth Center activities by your children 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 y,@u ever been convicted of a felony: No If yes, please explain in detail:
• Do you currently have a violation(s)of City of Miami Beach codes: No If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: No If yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes If yes; which board?
Loan Review Committee
•What organizations in the City of Miami Beach do you currently hold membership in?
Name: Flamingo Park Neighborhood Association Title: Member
Name: Greater Miami Beach Hotel Association Title: Member
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
The Anglers Boutique Resort Hotel
• I am now employed by the City of Miami Beach: No Which department?
• Pursuant to City Code Section 2-25(b): Do you have a 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.
Gender: Male Race: White
Ethnic Origin: Check one only(1)
White
Physically Challenged: No
Employment Status: Employed Other:
NOTE: If appointed,you will be required to follow certain laws which apply to city board/committee members.
These laws include, but are not limited to,the following:
• Prohibition from directly or indirectly lobbying city personnel(Miami Beach City Code section 2-459).
• Prohibition from contracting with the city(Miami-Dade County Code section 2-11.1).
• 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).
• Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1).
(re: 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 have received, read and will abide by Chapter 2,
Article VII—of the City Code"Standards of Conduct for City Officers, Employees and Agency Members."
I Eric Lawrence agreed to the following terms on 6/23/20114:28:42 PM
Received in the City Clerk's Office by: Date: Z �/� l Control No. 0 Date:
Name of DelAty Clerk
I A1\A I EAC 1 i
City of Miami Beach,
1700 Convention Center Drive,
Miami.Beach,Florida 33139,
www.miamibeochfl.aov
CITY CLERK Office Cit ClerkCmiamibeachfi..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(i) `2)
Board
Member-name, fI C, L w pe,,
I understand that no .:later.than July 1,:of .each year till members of.Boards and
Committees of the .City of Miami Beach, including those of a purely advisory nature, are
required 16 comply with Miami Dade County Disclosure Requirements, This means that the
members of:City Advisory:Boards, whose.sole or primary:responsHiity 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, 17.00 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]
2. A Copy of the person's:current'Federal Income Tax Return
Failure to'fte; according:to the sauri-Dade .County Code Chapter I, General
Provision, Section 1-5.may su*ct.the person or firm to a fi ne'not to exceed
,$500:.00 or by imprisonment in the county.}aii for:a period n®t to exceed sixty
days, or bot
-Signature: ate:
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: ce vi C Ending: I ,
Mailing Address: i4t--
City/State/Zip: Cor4Ll rjn��951 F` S3)LIL.
Social Security Number:
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving: Loan kLoj Term or Empl y ent
Began on: I&s
Department where employed: A I
Work Address: Cif •IA t'1 C. (C4K l
If your home address is exempt from public records pursuant to
�3 1A.
Florida Statutes§119.07 please check here(read instructions): Work Telephone: ��
l
Home Address: V.
CO)f-A Street Address r
G;L�125r l ;�I
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 th Principal
Na a of. urc of'Income Address Busines` Aafv
A Om
S , A T ve
AA�AM` kC
I hereb a or firm) that the aforesaid information is a true and correct statement.
Signature of person disclosing Date signed