Megan Riley 12/31/2014,--_
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City of Miami Beach 170 Convention Center Drive, Miami Beach, Florida 33139
OFFICE DFTHE CITY CLERK, Rafael Grano6o,City Clerk
Tel: (3O5)u7o7471' Fax: (3o5)u73'7z54
smoxc/�Clerk@m/om/6eoch.gov
2/6/2013
Megan Riley
439 15th Street #24
Miami Beach, Florida 33139
Art in Public Places
Congratulations! You have been reappointed bv the City Commission to the above
referenced agency, board or committee for term ending: 12/31/2014.
If you are unable to accept this appointrnmnt, please notify the City Clerk's Office at
(3O5) 673-7411.
Please read the enclosed rnate'o} carefully. Aoain, congratulations and good luck.
Sincerely,
Rafael E. G[@n8do
City Clerk
cc: Saul Frances, Parking Director
OennimLeyvm
ATTACHMENTS:
Letter ofAppointment
Oath
City Code/Ordinance section applicable to oQonoy, board or committee
City Code Section 2'22, 2'23, 2'24, 2-25, 2'26. 2'2458, 2-459
Ordinance 2000'3543 -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
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vve are committed to providing excellent public service and safety to all who live, work and play m our vibrant, tropical, historic community.
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MIAMBEACH
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)673-741 1, Fax: (305) 673-7254
Email CityClerk @miamibeach.gov
TO Megan Riley
RE: Art in Public Places
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.
Megan Riley
Sworn to and subscribed before me this 24 day of , 2013.
cO a -
, eX! Sil is 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.
l BEACH
AM
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeochfl.Qov
CITY CLERK Office CiiyC{erkCmiamibeachfl.gov
Tel: 305.673.741 1 , 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.name:
I understand that no :Inter than July 1, of .each year all members of.Boards and
Committees of the .City.of Miami Beach, in.ciuding 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-ftle,: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]
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-.6 may subject the.person or firm to a f ne not to exceed
$500.00 or by imprisonment]n the county jail for a period not to exceed sixty
clays, or both.
-Signature: .Date:
MIAMIDADE F�Q 6 �!p� !�
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SOURCE OF INCOME STATEM GU F;f ! 42
Ld I elf
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
/�f�-C rr For Tax Year
Name: ,/" ` °�"►` ' I I Ending:
9
Mailing Address:
City/State/Zip:
Social Security Number:
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: 02�,t CO a&
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
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I hereby swear(or affirm) that the aforesaid information is a true and correct statement.
Signature o person disclosing Date signed