Frank Kruszewski 12/31/2014 NAIIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miomi beach Fl.aov
OFFICE OF THE CITY CLERK, Rafael Granada, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
Email CityClerk @miamibeach.gov
02-11-2013
Frank Kruszewski
1800 Sunset Harbor Drive #2002
Miami Beach, Florida 33139
?SUBJECT: Planning Board
Congratulations! You have been appointed by the City Commission to the agency,
board or committee named above for a term endin 12/31/2014.
Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after
January 1, 2007, the term of board members who are directly appointed by a member of
the City Commission shall automatically expire on December 31 of the year the
appointing elected official leaves.
If you are unable to accept this appointment or have any questions, please call the City
Clerk's Office at 305-673-7411. Please read the enclosed materials carefully.
Congratulations again and good IUck.
Sincerely,
Rafael E. Granado
City Clerk
cc: Saul Frances, Parking Director
Katia Hirsh
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, 2-458 and 2-459
Ordinance No. 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 Employee
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,MWW,miamibeachfl.9ov
OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
Email CityClerk @miamibeach.gov
TO Frank Kruszewski
RE: Planning 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 (depending on the b or committe n which I serve)on
July 1,following the closing of the calendar year 71E,ve ved.
F k ffW/;T
wskii S worn to and subscribed before me this Z day o /e�< , 2013.
t
a
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 ploy in our vibrant, tropical, historic community.
MIAMIDADE
SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
{�� � f l For Tax Year
Name:
U S °( Ending:—�-
Mailing Address:
City/State/Zip:
Social Sec
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:��
Board where serving: [/1/�jt/q/��(/ �-�L/� Term or Employment
f , 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
oe
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 urce of Income Address Busine s Activi
K m,,
I hereby swear(or affirm) that the aforesaid information is a true and correct statement.
31z,/U 0
Signature a disclosing Oate sfgned
MIAMI BEACH
city of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeochfl.Aov
CTY CLERK Office CityClerk@miamibeachfl.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:
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 ofthe following withthe 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-fax Return
Failure to fife, 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 fora period nvt to exceed sixty
days, or both.
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#t.u - .Date