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Bradley Ugent 12/31/2013 C L 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 02-06-2013 Bradley Ugent 1213 El Rado St. Coral Gables, Florida 33134 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 12/31/2013. 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. 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 ry ov s TO Bradley Ugent RE: Miami Beach Human Rights 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: 12/31/2013. 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. Bradley L99ent Sworn to and subscribed before me this day of Fib , 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 M 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 NA V11 BEACH MIAMI BEACH 0 '1 i NAME: Ugent Bradley A Last Name First Name Middle Initial HOME ADDRESS: i go E+4tadv-St- -Cor2l-Gables. FIL -as t" 13 Apt No. Home No./Street City State Zip Code PHONE: 3059844707 h,aduQent@gmmx.00m Home Work Fax Email Address Business Name: Coldwell Banker Position: Realtor-Associate addn000: 16S1 Michigan Ave Miami Beach FL 33139 No. Street City State Zip Code Profeoaniono| License(deouhbe): Florida Real Estate License Expires: 03/31/14 Auach a copy u,mlicevee 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: No • 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: No • (Please circle one): I am now a resident of: South Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Majority of my clients and busines is on Miami Beach,and I love the cityl e Are you presently a registered lobbyist with the City of Miami Beach? No Please|i/g your preferences in nd 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 ofCity) Affordable Housing Advisory Committee Loan Review Committee Art in Public Places Committee Marine Authority Beautification Committee Miami Beach Commission for Women Board of Adjustment* Budget Advisory Committee [3] Miami Beach Human Rights Committee Capital Improvements Projects Oversight Committee Miami Beach Sister Cities Program Committee for Quality Education in MB Normandy Shores Local Gov't Neigh.Improvement Committee on the Homeless Parks and Recreation Facilities Board Community Development Advisory Personnel Board Community Relations Board Planning Board* Convention Center Advisory Board Police Citizens Relations Committee Debarment Committee Production Industry Council Design Review Board* Safety Committee Disability Access Committee Single Family Residential Review Panel J1L_EUo_Ad&2a&rd L.4 Sustainability Committee Gay,Lesbian,Bisexual and Transgender(GLBT) Tennis Advisory Committee Golf Advisory Committee Transportation and Parking Committee Health Advisory Committee Visitor and Convention Authority Health Facilities Authority Board Waterfront Protection Committee Hispanic Affairs Committee Youth Center Advisory Board Historic Preservation Board Youth Center Advisory Board 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: No 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: � j rr e 1 s Have you 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 Money Beach any money: No If yes, please explain in detail: •Are you currently serving on any City Boards or Committees: No If yes,which board? •What organizations in the City of Miami Beach do you currently hold membership in? Name: Title: Name: Title: • List all properties owned or have an interest in,which are located within the City of Miami Beach: • 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 relative 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 Ethnic Orgin: Check one only(1) White Physically Challenged: No Employment Status: Employed 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 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 Bradley Ugent agreed to the following ter 0/18/2012 5:03:05 PM Received in the City Clerk's Office by: Date: / /2012 Control No. 0 Date: / /2012 Name of Deputy Clerk e C ec,� -2 13 DRAFT MARCH 14,2011 Brad Ugent Floridamoves.com Profile Copy As a 35-year resident here, I know Miami Beach and the entire Miami area extremely well. I can explain everything you need to make an informed decision about your next real estate transaction, whether you are buying or selling property. My clients know they can count on me for invaluable local insight. My success in pairing people and properties is built upon the large network of professional and social relationships I've developed throughout my career here. People realize they can trust my honesty, integrity and straight-forward approach. If you own a home or condo in the Miami Beach area and are considering selling, give me a call. I have a complete grasp of what is selling and for how much. If you are considering relocating here, I can pinpoint many truly attractive properties—both from an aesthetic and financial perspective- that will meet your specific needs. Give me a call, and let me show you how life on Miami Beach can be a dream come true. Nil BEACH . city of Miami Beach, 1700 Convention Center Drive, miami.Beach,Florida 33139, www.miamibeachfl.aov CfTY CLERK Office CityClerkCmiamibeachfi.gov Tel: 305.673.741 1 , Fax: 305.673.7254 Acknowledgement of fines/.suspension for Board Mernn hers far.failure to comply with Miami-Dade County Financial.Disclosure Code Provision Code .section 2-11.1(i) (2) Board Member name: � I understand that no :later-than July I, of .each year all mem.bers 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 ofithe-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] 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 f ne not to exceed ,$500.00 or by imprisonment In the county Jail for period not to exceed sixty clays, or.both. 13 S' 0 n atu re: .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: blEy WqCAlt Ending: 0 / Z Mailing Address: City/State/Zip: Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: Board where serving: h = Term or Employment Began on: 3 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 Sou ce of Income Address pusiness Activity I hereby swear(or affirm)that the aforesaid information is a true and correct statement. 21tCi/ 13 S' nature of pi son disclosino Date signed