Juan Rojas 12/31/2014 A1,fi1`\AIBEA
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 CiyClerk @miamibeach.gov
2/6/2013
Juan Rojas
3220 S W. 25 St
Miami, Florida 33133
SUBJECT ; Affordable Housing Advisory Committee
Congratulations! You have been reappointed by the City Commission to the above
referenced agency, board or committee for a term ending: 12/31/2014.
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
Richard Bowman
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.
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachf].gov
OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
Email CiyClerk @miomibeach.gov
TO Juan E. Rojas
RE: Affordable Housing 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 Fl&mpyeess on Ethics Guide to the Sunshine Amend-
ment and Code of Ethics for Public icer nd understand that as a member of a City
of Miami Beach Board and/or Comm tee, I he financial disclosure*requirements of
Miami-Dade County or ithe State of F rida ( board or committee on which I serve)on
July 1,followin g the closing of the cale dar e served.
uan E. Rojas
Sworn to and subscribed before me this day of'V9 20113.
O
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
We are committed to providing excellent public service and safety to all who live,work and play in our vibrant,tropical, historic community.
LW M t /\A s CITY OF MIAMI BEACH
RZOARD AND CoMMI'C°TEE APPLICATION FORM
NAME: Rojas Juan E
Last Name First Name Middle Initial
HOME ADDRESS: 3220 SW 25 ST Miami FL 33133
Apt No. House No./Street City State Zip Code
PHONE: 305-613-1699 305-476-1982 305-447-6250 jrojas@gibraltarprivate.com
Home Work Fax Email address
Business Name: Gibraltar Private Bank & Trust Position:yP & Director of Community Development/CRA
Address: 400 Arthur Godfrey Road, Miami Beach, FL 33140
No. Street City State Zip Code
Professional License(describe) 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.
• Resident of Miami Beach for a minimum of six(6)months:Yes❑or No ❑
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months:Yes E or No
•Are you a registered voter in Miami Beach:Yes 7—or No 0
• (Please circle one): I am now a resident of: North Beach South Beach Middle Beach
• 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)
1 Affordable Housing Advisory Committee ❑Marine Authority
❑Art in Public Places Committee ❑Miami Beach Commission for Women
❑Beautification Committee ❑Miami Beach Cultural Arts Council
❑Board of Adjustment* ❑Miami Beach Human Rights Committee
❑Budget Advisory Committee ❑Miami Beach Sister Cities Program
❑Capital Improvements Projects Oversight Committee ❑Normandy Shores Local Government 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 (7 rTt
❑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:Yes No o Years of Service:
2. Present participation in Youth Center activities by your children Yesr No E. 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:
;::C? SEP 2 20
*Have you ever been convicted of a felony: Yes ❑or No 1�1 If yes, please explain in Retail:
• Do you currently have a violation(s)of City of Miami Beach codes: Yes ❑or No 23. If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes❑or No®. If yes, explain in detail
• Are you currently serving on any City Boards or Committees:Yes 0 or No a 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: Yes 0 or No f. Which department?
• Pursuant to City Code Section 2-25(b): Do you have a parent❑,spouse❑,child❑,brother❑,or sister❑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: n Male ❑ Female
Ethnic Origin: Check one only (1)
❑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.
N 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,on
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 through tribal affiliation or community recognition.
Physically Challenged: Yes 0 or No17.
Employment Status: Employed 3 Retired❑ Homemaker❑ 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,
om having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself,
or ose with whom you have business or immediate family ties(CFR 570.611).
Up re est,copies of these laws may be obtained from the City Clerk.
"I her by est the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
icie II` the ' Code"Standards o C "nduct for City Officers, Employees and Agency Members."
Juan Rojas
Applic i t re at Name of Applicant(PLEASE PRINT)
Received in the ity Clerk's Office by: Date:—/ /2010 Control No. Date:_!_/2010
Nbmi1W De uty Clerk
M I AM I BEAC H
city of Miami Beach,
1700 Convention Center Drive,
Miami Beach,Florida 33139,
V^VW.miam1beoch8.aov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 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)
D
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 thatthe
members of-City Advisory:Boards, whose.sole-or primary responsibiilty -is to recommend
legislation or give advice tolhe City Commission,mustftle. eventhough you may have.been
recently appointed.
You must file one ofthe-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 Miaml-Dade.County Code Chapter 1, General
Provision, Section 1-5 may subject the person or firm to a fine not to exceed
.$500.00 or by imprisonment'in the county jail for a period not to exceed sixty
ays or both.
Sig ate
I
M I A M OADE
SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
For Tax Year
Name:
OL"
Ending:
Mailing Address:
City/State/Zip:
S umber:
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving: Term or Employmen
Rke Began on:
Department where employed:
Work Address:
If your home address is exempt from public records pursuant to
Florida Statutes§ 119.07 please check here(read instructions): ® Work Telephone:
Home Address:
Street Address
City State Zip Code
Please list below in descending order with the largest source first, the name, address and
principal business activity of every source of your income including public salary you
received or any person received for your benefit or use during the disclosure period. The
income of your spouse or any business partner need not be disclosed. If continued on a
separate sheet,check here: Ej
d e Cl
I here y r( r,$&m) that the aforesaid information is a true a d correct statement.
Sign ur o rso disclosing Date signed