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Jacqueline Lalonde 12/31/2014 A,�\A 11 B E A C�H City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamlbeachFI.gov OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk Tel: (305) 673-7411, Fax: (305)673-7254 Email CityClerk @miamibeach.gov 2/11/2013 Jacqueline Lalonde 1515 West 22th St. Miami Beach, Florida 33140 SUBJECT' Budget Advisory Committee Congratulations! You have been reappointed by the City Commission 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 Kathie Brooks 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)673-741 1,Fax: (305)673-7254 Email CityClerk @miamibeach.gov TO Lalonde Jacqueline RE: Budget 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, an understand that as a member of a City of Miami Beach Board and/or Committee, I must comply with t financial disclosure*requirements of Miami-Dade County or ithe State of Florida (dependin on the oard or committee on which I serve)on July 1, following the closing of the calendar year on ich' ha a served. Lai nde Jacqueline Sworn to and subscribed before me this day of 2013. Silvia Prieto 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. MIAMICITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM NAME: Lalonde Jacqueline p Last Name First Name Middle Initial HOME ADDRESS: 1515 W 22nd Street Miami Beach FL 33140 Apt No. House No./Street City State Zip Code 305 586 2026 305 PHONE: TTV:ro Jacqueline.Lalonde@raymondjames.com Home Work Fax Email Address Business Name: Raymond James&Associates Position: Sr.VP Investments s zppa Address: 4M Michigan Ave#9W Miami Beach FL 33139 No. Street City State Zip Code Professional License(describe): Series 7,69 etc Expires: Attach a copy of the tgc.esise 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: No •Are you a registered voter in Miami Beach: Yes • (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: Current member of BAC and am applying for designated Finacial Representative within the BAC •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) Affordable Housing Advisory Committee Marine Authorit Art in Public Places Committee Miami Beach Commission for Women Board of Adjustment* Miami Beach Human Rights Committee 1 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 Advisory Planning Board* Community Relations Board Police Citizens Relations Committee 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 Gay, Lesbian, Bisexual and Trans ender GLBT Transportation and Parking Committee Golf Advisory Committee 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 Authority 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 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: Y • Have you ever been convicted of a felony: No If yes, please explain in aetail: • Do you current) have a violations of City of Miami Beach codes: No If es lease explain in detail: Y Y O Y , Y p p • 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? BAC •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 arnc��within he Ci!!�� f Miami Beach: 1515 West 22nd street,361 Collins Ave#8 (� ((��pp • 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: Female Race: 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 Jacqueline Lalonde agreed to the following terms on 1/11/2011 3:51:16 PM / !� -0 A/ 14 Please attach a copy of your resume to this application NOTE:Applications will remain on file for a period of one( calendar year. Received in the City Clerk's Office b : Date: //!/ Control No Q Date: !/ Ir � l Name of ep y Clerk 4 a O O cs. O CD CD O " v, �• ?� � Aa � gyp•, � � � � '~ n QG � O 'C cn C/1 ^ .c.. �--, n Z J(S • n• y `S � U'f O n � � y V a to u 3 O n .y Ch rD rb rb cm cr rD rD CD c ¢ d Cr �Q O CL 0 w Z M n. a n. p "- Mo rt y o. aq Q N 7 CJl s N O a - 1 (D O Y CD `f O . O CD CD n> CO W 0 T 7 Ul co < _ CL W 1 7 al un - O O O s O O q4' f i 0 c' r aG rr y O I V n O O Ti v o r: A D- ❑ t C rD ^d (D D =3 y J N CJ Q ,c rD O. (D --� v Cl) LD CO v r rD rte.'. ,r !-: W 2 a CD G y y c CQ w rD rD Ln rD co Q C- rD et OCD A F z < Gr v 2 Z n < (D v r9 W m a) W m < C-) o Z) l< J _ < co :D7 r r z __ o _ 7" Q r H -t v G v Q O rD CL G CI) C CT 0 L _ ^ v "? C. ro C. .70 V CD r��.. �Jl Tl rr ri7• ^J FD 1••r• L r14 rD �Z', O CO N el rD J o- CD rD � y r V �+ < n G w ;� G v v I v W $ W n ] 77 rD G 0 _ O O J y rD = -t W v .0 .0 G: p ra �_ rD _ (p n r CD I� W Ct J U Y v r' ,r•.„ G < _n C y �' _ rn o G cA n rD 0 rD O C1 vj J y rD v .y �'- ' r� •'D C7 G ^' A G 1 v '7' P E3 n O r p �l� �=v-t vn U) (� p -t n D, r, G v .t 1@ I ^ p„ n �q S U r aG rp R > r+ '3 0 Census Bureau Considers Changing Its Race/Hispanic Questions | Pew Social & Dernogr— Page lof2 womocno. pAoru AND rncwon a*Ap/mo YOUR wooLo L Social J[��JL�e��e�&rK�� 8� Demo,-, �iK� JL��N[�s � —]�- Released:August 7, 2012 Census Considers Changing �� nm /��^ ^ �� 4�]��v�� v��]��x � Race/Hispanic �� «� u� �� u�«� / �� Questions byDVeruCohn The Census Bureau presents new research tomorrow that attempts to address the frequent mismatch between Americans'self-identity and the race or Hispanic categories they are offered on their census questionnaires.The issue is especially important for counting Hispanics,the nation's largest minority group. Currently,Americans are asked separate questions about origin and race.The 2010 Census form first asked people whether they are of Hispanic origin(and,if so,which origin).Then,all respondents were asked to check one or more of the boxes assigned to the five race categories(white,black,American Indian,Asian,or Hawaiian/Pacific Islander).The form noted,"For this census,Hispanic origins are not races."The race and Hispanic origin categories are set by the Office of Management and Budget,and the last major revision was in 1997. But these cutegu�eudn not u�'�snuatobpeople's ideas of who they are.Deap�e ° ��"L L°==wm`^"&vpft*,"fim`°m=A&%in` the Census Bureau's hopes that respondents would select�northe offered race ��Y"�� oatego�ea,zuorethan zgooilliou people io the oozo Census chose ucatch-all ��= = � ` avxx^/�= category,"some other race."The number and share of the population choosing ` �----------- ---------- _. "�mem�o�g��z000��. "��^�=�� `.��~_��°�~~~��, D�ostof those who chose"mn�z other race"vvereB�puoic.Tb�oz�ozatcb ''---- - ' ^w�� ^�� "�"� be��e��e��}�a�m��t�� = � ��~�� iugz�ugiop��e�B�a�c��uu�b��.� �� = government officials want people to choose from the offered categories because �e dole,~~_~~�� / they are widc��used,not jux uo the census furo�'but�soiuozaoyfeder� _ �-�---�--�-�--�--'�--�'�'' surveys,oogovernment forms such as school registrations,and in scientific research.Race data collected in the census are used to support enforcement of civil rights laws and redistricting of congressional districts. There also are other issues with the race categories used on the census form.For example,some respondents objected to the word"Negro,"which was one of the choices on the 2010 Census form along with"black"or"African American."Some groups would like a separate category for those of Arab descent.There is not a specific category for the growing number nf indigenous people from Latin America. Census forms through the decades have employed a changing list of race categories that reflect their times,and the x govecuzueotdid not even a�eouptto count Hispanics until late io the zo tceotory.Tbeattenopttnolauaifvpeopleby race or origin is by nature an imperfect enterprise.As the Office of Management and Budget acknowledged in 1997, the race categories"represent a social-political construct designed for collecting data on the race and ethnicity of broad population groups in this country,and are not anthropologically or scientifically based." httn://vvvvvv.pevvmooialtreoda.orp/2Ol2/O8/O7/ceoonu-boreau-000siders-ohaugiog-its-racehis... 2/27/2013 Census Bureau Considers Changing Its Race/Hispanic Questions I Pew Social & Demogr... Page 2 of 2 The research to be reported tomorrow is part of a broad Census Bureau program intended to improve the accuracy of census data.In this case,the Census Bureau experimented with alternative questionnaire design and question wording in the quest for improved responses to the race and origin questions.The research included mailing 15 xalternative�tvne of Cans s z0�.()-Loxms:tn 3o,000 househojd,,�each,. tell e:sure.Qf s�am -,of those r:�=: _a U.S.POLITI�SMEDIA& NEWS SOCIAL ELIGION I INTRNtrZ B�, HISPANICS GLOBAL respondents ands a wi eriety of focus;T:rouv�ala�0aews on tie heneral civic o identification. REPORTS TOPICS INTERACTIVES DATASETS ABOUT A variety of changes were included on the experimental alternative questionnaires,but the major innovation tested was to combine race and Hispanic origin into a single question:"What is Person 1's race or origin?"The instructions tell respondents to mark one or more boxes.The respondent is told to write in the specific race(s)or origin(s),either as part of that question or in a second follow-up question.The bureau already has signaled that it intends to follow up with more research on this combined question. Copyright 2013 Pew Research Center Terms&Conditions Privacy Policy Feedback Careers Find an Expert http://www.pewsocialtrends.org/2012/08/07/census-bureau-considers-changing-its-racehis... 2/27/2013 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach,Florida 33139, v,,v,,W.miamtbeochfl.Aov CITY CLERK Office CifyC{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 :later-than July L 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 Comm!ssion,rnustflie,:even though you may have..been recently appointed. You must file one of the 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'Feder'al 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-a period not to exceed sixty days., orb th. 76 r� Sig re: Date: M I A M I•DADE SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name/Initial Last Name Disclosure • lam,4& For Tax Year Name: EndingL� Mailing Address: /i City/State/Zip: So 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 pl a check here(read instructions): ® Work Telephone: Home Address: A/ &'OlC 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 N e of Source of I ome A re usi ess Activity 'GOOF f di✓ u G .mil,*- a I hereby swea ( affirm)that the aforesaid information is a true and corre statement. Signature ofpers n disclosing Date signed