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Paul Stein 12/31/2014 NA i ,\� 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 3/7/2013 Paul Stein 510 W 50th St Miami Beach, Florida 33140 SUBJECT: Youth Center Advisory Board Congratulations! You have been reappointed by Mayor Matti Herrera Bower to the above referenced agency, board or committee for a term ending: 1213112014. 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, Rafa E. Granado City Clerk cc: Saul Frances, Parking Director Ellen Vargas 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.miomibeachfl.aov OFFICE OF THE CITY CLERK, Rafael Granada, City Clerk Tel: (305)673-7411, Fax: (305)673-7254 Email CityClerk @miamibeach.gov TO Paul Stein RE: Youth Center Advisory Board 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 (de—p 7rdi on the oard or com a on which I serve)on July 1,following the closing of the calendar year on which rved. Paul Stein Sworn to and subscribed before me this , day of 2013. d'q'`: Silvia rieto 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. r MIAMI B City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www miamibeachfLAov CITY CLERK Office CityClerkCmiamibeachfl.gov Tel: 305.673.7411 , Fax: 305.673:7254 Acknowledgement of fines/suspension for Board.Mein hers for.failure. to comply with.Miami-Dade.County.Financial Disclosure Code Provision Code .Section 2-11.l.(i) -.(2) Board Member.name: understand that no . ater 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 Requir>rments. 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 havebeen recently appointed. you must file one of the following with the City Cierk 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(orb 3. A Copy of the.person's current Federal Income Tax Return Failure to-file, according to-the Miarni=Dade.County Code Chapter 1, General Provision, Section 1-5 maysubject the person or firm to a:f ne not to exceed .$500.00 or by imprisonment'.in the county Jail.fors period not to exceed sixty days, or both. .Signature: D te: 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: U (i ' " Ending: z- Mailing Address: 0 o City/State/Zip: 1-/C Social Security Number: �' I Filing as a: ® County Employee: c.r ® Municipal Employee of: -v Position held or sought: T PO -; IU f Ul Term or Employment Began on: J 3 Department where employed: Work Address: If your home address is exempt from public records pursuant to 3Cd-'gq)4?1T 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'Activi I her ftswe a at the aforesaid information is a true and correct statement. Sig ture of person disclosing Date signed