Ada E. Llerandi Application package `
MIAMI CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
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Last Name q First Name Middle Initial
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Home Address City State Zip Code
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Home Telephone Work Telephone Cellular Telephone Email address
U /14 Position:
Business Name
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Business Address City State Zip Code
Professional License(describe) by I 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
for a minimum of six months.
• Resident of Miami Beach for a minimum of six (6) months: Yes 1=71or No
• Demonstrate an ownership/interest in a business in Miami Be ch for a minimum of six months: Yes ED or No ED
• Are you a registered voter in Miami Beach: Yes 1::1 or No
• I am now a resident of: North Beach L.Lj South Beach ED Middle Beach ED
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
• Are you presently a registered lobbyist with the City of Miami Beach?Yes or 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 ❑ Fine Arts Board ❑ Normandy Shores Local Government
Neighborhood Improvement
U Art in Public Places Committee ❑Gay, Lesbian, Bisexual and Transgender ,Parks and Recreation Facilities Board
Enhancement Committee GLBT
❑Beautification Committee ❑ Golf Advisory Committee ❑ Personnel Board
L Board of Adjustment* * Health Advisory Committee ❑Planning Board*'�r
Budget Advisory Committee ❑ Health Facilities Authority Board ❑ Police Citizens Relations Committee
Capital Improvements Projects ❑ Hispanic Affairs Committee ❑ Production Industry Council
Oversight Committee
❑ Committee on the Homeless ❑ Historic Preservation Board u Safety Committee
❑Committee for Quality Education in MB ❑ Housing Authority ❑Single Family Residential Review Panel
Community Development Advisory ❑ Loan Review Committee ❑Sustainabili Committee
Community Relations Board ❑ Marine Authority ❑Tennis Advisory Committee
❑Convention Center Advisory Board Miami Beach Commission for Women ❑Transportation and Parking Committee
1 Debarment Committee ❑ Miami Beach Cultural Arts Council ❑Visitor and Convention Authority
F., Design Review Board*T ❑ Miami Beach Human Rights Committee ❑Youth Center Advisory Board
Disability Access Committee A Miami Beach Sister Cities Pro rarrl ❑Waterfront Protection Committee
* Board Required to File State Disclosure ForrW 151"ll",i GL_7 L)e- F74,# j-i ry A-o v 15 ay EZ2 X9-2
�7 If you seek appointment to a professional seat(e.g., lawyer, architect)on the Board of Adjustment, Design Review Board,
Historic Preservation Board, or Planning Board,attach a copy of your currently-effectively license, and furnish the
following information:
Type of Professional License License Number
License Issuance Date and License Expiration Date
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F:\CLER\BALL\aFORl\JS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW LANGUAGE.doc
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:Yes N ears of Service
o Y :
2. Present participation in Youth Center activities by your children Yes No ID. 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 you ever been convicted of a felony:Yes�-=]or No Z�If yes, please explain in detail:
• Do you currently have a violation(s)of City of Miami Beach codes:Yes[_—j or No[A'If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money:Yes Zi or No F0 If yes, explain in detail
• Are you currently serving on any City Boards or Committees:Yes 43 or No If yes;which board?
•What organizations in the City of Miami Beach do you currently hold membership in?
JV0 0
Name Title
Name Title
• List all properties owned or have an interest in,which are located within the City of Miami Beach:
00 r1(,
r • I am now employed by the City of Miami Beach:Yes ID or No Which department?
• Pursuant to City Code Section 2-25(b): Do you have a parent U, spouse�D, child ED brother, or sister who is
employed by the City of Miami Beach? Check all that apply. Identify the department(s): 0"Or
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.
Ethnic Origin: Check one onl (1)
Gender: Male[D Female
LJ White (Not of Hispanic Origin):All persons having origins in any of the original peoples of Europe, North Africa or the Middle East.
African-American/Black (Not of Hispanic Origin):All persons having origins in any of the Black racial groups of Africa.
-Hispanic: All persons of Mexican, Puerto Rican,Cuban,Central or South American,or other Spanish culture or origin,regardless of race.
Asian or Pacific Islander:All persons having origins in any of the original peoples of the Far East,Southeast Asia,the Indian Subcontinent,or
the Pacific Islands. This area includes,for example,China, India,Japan,Korea,the Philippine Islands and Somoa.
American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America,and who maintain
Cultural identification throu h tribal affiliation or community recognition.
Physically Challenged: Yes or No 12
Employment Status: Employed E-D Retired Homemaker U Other
Please remember to attach a current resume and a copy of any applicable
professional license.
Attach additional sheets, if necessary, to provide required information.
F:\CLER\SALL\aFORNIS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW LANGUAGE.doc
NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT 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).
• 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 I 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."
pplicant's Signature Date Name of Applicant(PLEASE PRINT)
Received in the City Clerk's Office by
Name of Deputy Clerk Control No. Date
F:\CLER\SALL\aFORMS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW IANGUAGE.doc
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.gov
CITY CLERK'S OFFICE CityClerk @miamibeachfl.gov
Telephone: 305.673.7411 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's Name: 4c>A_ z--'
I understand that no later than July 1, 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 Commission, must file, even though you
may have been recently appointed.
You must file one of the following with the City Clerk 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); 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 fine not to exceed $500.00 or by imprisonment in the county jail for
a period not to exceed sixty days, or both.
S' nature Date
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F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW LANGUAGE.doc
ADA E. LLERANDI
7871 Crespi Blvd., apt. 3
Miami Beach, FL 33141 R F (-' F 1 \,,' F D
2013 MAR 32 PV112: 09
CITY CLLt0'%-S OFFICE.
March 27, 2013
Liliam Hatfield, Office Associate
City Clerk's Office
City of Miami Beach
1700 Convention Center Drive
Miami Beach, FL 33139
Dear liliam:
As per your e-mail, enclosed please find my photograph to attach to my board or
committee application. I e-mailed back to you my resume, also as requested.
Should you require additional information, please let me know.
Sincerely,
Ada E. Llerandi
ADA E. LLERANDI
adallerandi@yahoo.com
Tel. 239-919-0528
Business Experience:
2005 – present Retired
1992 - 2005 Malvern Hotels of Florida, Inc.
(Ritz Plaza Hotel) – Miami Beach
Owner’s Representative
1987 - 1992 Malvern Group, Inc. – New York
Office Manager
1985 - 1987 Simplicity Patterns – New York
Export Sales Coordinator and Supervisor
1980 - 1985 Danskin Inc./International Playtex – New York
Export Sales Coordinator and Supervisor
1974 - 1980 Bobbie Brooks, Inc. – New York
Administrative Assistant – International
1969 - 1974 Van Heusen Co. - New York
Administrative Assistant
1973 - 1979 Llerandi Accounting & Tax Service – New York
Assistant
Education: School of Advertising – Annex to University of Havana – Cuba
BA in Advertising
Ruston Academy – Havana, Cuba
High School & Commerce Dept.
Memberships & Community Service:
1993 City of Miami Beach Greater Miami Convention & Visitors Bureau
Evaluation Committee
Committee
1993- Greater Miami and Visitors Bureau –
1994 Travel & Leisure Committee
1994 - VCA (Miami Beach Visitors & Convention Authority) –
1999 Board Member
1994/1996/ Miami Dade Cultural Affairs
1998 Challenger Grant – Panel Member
Cultural Advancement Grants Program – Panel Member
1994 - 2000 Foster Care Review – Panel Member
1994 – 1997 Miami Beach Chamber of Commerce
& Board of Governors Member
2001 – 2003 Membership Committee – Co-Chair
Hospitality Industry Committee
Parking and Transportation Committee
2006 Hispanic Affairs Committee
1995 Miami Beach Latin Chamber of Commerce – Board Member
1
1995 – 1997 UNIDAD – Hispanic Community Center
Board Member – Vice President
1995 Miami Coalition for the Homeless – Member
1995 – 2009 R.A.I.N. Parents (Referral & Information Network)
Fienberg-Fisher Elementary School
Board Member – Chair
1997 – 2009 Raindrop Day Care Center
Fienberg-Fisher Elementary School
Board Member – Chair
1997 – 1999 AYUDA – Board Member
1998 – 2000 Miami Beach Kiwanis – Member
1998 – 2000 Miami Beach Taxpayers’ Assn. – Board Member
1998 – 2003 Greater Miami Hotel Association
Board Member
Government Affairs Committee
Miami Beach Committee – Co-Chair
1999 – 2000 Miami Beach – Transportation and Parking Committee
Board Member
2000 – 2009 South Florida Hispanic Chamber of Commerce
Member
2001 – 2004 Miami Beach Cultural Arts Council
Board Member
2004 – 2006 Chair
2001 – 2009 Miami Beach Community Development Corp. (MBCDC)
Executive Committee & Board Member
(Secretary)
1999 – 2009 Miami-Dade County Tourist Development Council (TDC)
Board Member
2007 – 2009 Miami Beach Housing Authority
Commissioner
2011- 2012 Naples - St. Ann Catholic Church – Office volunteer, entering records
into computer. PTA volunteer.
Personal:
Marital Status: Widow – married for 33 years to Manuel Llerandi
Five children
Eight grandchildren
Contact information:
Cellular number: 239-919-0528
E-mail: adallerandi@yahoo.com
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