John Barker 12/31/2014 lll'�I AAAI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Rafael Granada, City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
Email CityClerk @miamibeach.gov
12/19/2012
John Barker
781 Fairway Drive
Miami Beach, Florida 33141
�
SUBJ,ECT " Golf Advisory Committee
Congratulations! You have been reappointed by Commissioner Ed Tobin
to the above referenced agency, board or committee for a term ending: 12/3112014.
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,
Raf I E. ra ado
City Clerk
cc: Saul Frances, Parking Director
Kevin Smith
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.miomibeochfl.9ov
OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk
Tel: (305)673-7411, Fax: (305) 673-7254
Email CityClerk @miamibeach.gov
TO John Barker
RE: Golf 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, 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 board or committee on which I serve)on
July 1, following the closing of the calendar year on which a rued.
John Barker
Sworn to and subscribed before m this day of /lt , 2012.
�2 ilvia 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 ore committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
Ono SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name Initial Last Name
Disclosure
•/n� X11 For Tax Year
Name: D h 1�G&ev Ending:Z0�
Mailing Address: IjA On
City/State/Zip: 6mch
Social Security Number:
Filing as a: ® County Employee: T.
® Municipal Employee of:
Position held or sought:
Board where serving: &),F I VfSLWI 6d Gv4 Term or Employment
Began on:
Department where employed:
Work Address:
If your home address is exempt from public records pursuant to +"0 Q/
Florida Statutes§119.07 please check here(read instructions): Work Telephone: ✓
Home Address: � 6 � l V-' ' 1
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:ofthePrincipal
Name of:Source�oU-Income Address Business%Aclivi tv
M rh,4.
I hereby swe (or affirm)that the aforesaid information is a true and correct statement.
S' tore of person disclosing dat4 signed
M I AM I BEAC H
city of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www miamibeachfl.aov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.7411 , Fax: 305.673.7254
Acknowledgement of fines/suspension for Board Mern bers for.failure
to comply with Miami-Dade County Financial Disclosure Code Provision
Code Section 2-11 .1(1) .(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 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]
I 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 Z 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 ncA to exceed sixty
days, or both.
Signat. Date: