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Ada Llerandi 12/31/2013 /`A I AM I B AC 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 04-01-2013 Ada Llerandi 7871 Crespi Blvd. #3 Miami Beach, Florida 33141 SUBJECT;;;' Bicycle-Pedestrian Facilities Advisory Committee Congratulations! You have been appointed by Mayor Matti Herrera Bower to the agency, board or committee named above for a term ending: 12/31/2013. 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 office. 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 luck. Sincerely, afael E. Granado City Clerk cc: Saul Frances, Parking Director ATTACHMENTS: Letter of Appointment Oath City Codb/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,www.miamibeochfl.gov OFFICE OF THE CITY CLERK, Rafael Granada, City Clerk Tel: (305)673-7411, Fax: (305)673-7254 Email CityClerk @miamibeach.gov TO Ada Llerandi RE: Bicycle-Pedestrian Facilities 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: 12/31/2013. 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 I have served. Ada Llerandi Sworn to and subscribed before me this S day of Pje.i , 2013. 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. j 1� /�� A� /1 CITY of r�11 IO BEACH I �/ ( � � BOARD AND COMMITTEE APPLICATION FORM _ L. L t.2,4 n> t>t A e__. Last Nam First Name Middle Initial e � $ "71 L°he—0—SP v o• I(AAl/ REDIg )Z72— 331 V/ Home Address City State Zip Code Home Telephone Work Telephone Cellular Telephone Email address kJ/#- Position: Business Name �/ 1fq Business Address City State Zip Code Professional License(describe) tU 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 1-7 or No ID • Demonstrate an ownership/interest in a business in Miami Be ch for a minimum of six months: Yes ID or No • Are you a registered voter in Miami Beach: Yes[_--I or No L.0 VT yb-' • I am now a resident of: North Beach L.;:j South Beach ID Middle Beach ID o 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 :onIV three 3 choices will be observed by the City Clerk's Office. (Regular Boards of City) D Affordable Housing Advisory.Committee D Fine Arts Board u Normandy Shores Local Government Neighborhood Improvement D Art in Public Places Committee C Gay, Lesbian, Bisexual and Transgender D Parks and Recreation Facilities Board Enhancement Committee(GLBT D Beautification Committee ❑ Golf Advisory Committee D Personnel Board ❑Board of Adjustment* ❑ Health Advisory Committee 71 Planning Board** D Budget Advisory Committee ❑ Health Facilities Authority Board ❑ Police Citizens Relations Committee D Capital Improvements Projects ! Hispanic Affairs Committee D Production Industry Council Oversight Committee D Committee on the Homeless D Historic Preservation Board D Safety Committee D Committee for Quality Education in MB ❑ Housing Authority D Single Family Residential Review Panel - D Community Development Adviso D Loan Review Committee D Sustainability Committee D Community Relations Board ❑ Marine Authority D Tennis Advisory Committee D,Convention Center Advisory Board Miami Beach Commission for Women ❑Transportation and Parking Committee Debarment Committee D Miami Beach Cultural Arts Council n Visitor and Convention Authority D Design Review Board** D Miami Beach Human Rights Committee D Youth Center Advisory Board D Disability Access Committee a Miami Beach Sister Cities Pro ram ❑Waterfront Prot ction Committee * Board Required to File State Disclosure For 811'!<<'1' �'�o�sr2� F'4`0 1-I ry r^roV150'Q ttj� T 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 F:\CLER\BALL\aFORMS\BOARD AND COMMITTEES\BC Application NEWLY R D AWMEDC i 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 Years of Service: 2. Present participation in Youth Center activities by your children Yes 1:1 No�:]. 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 ID or No If yes, please explain in detail: • Do you currently have a violation(s)of City of Miami Beach codes:Yes or No 1�If yes, please explain in detail: / • Do you currently owe the City of Miami Beach any money:Yes U or No 10 q If yes, explain in detail • Are you currently serving on any City Boards or Committees:Yes�-=]or Nola If yes;which board? •What organizations in the City of Miami Beach do you currently hold membership in? V0 0 U ' Name Title Name Title • List all properties owned or have an interest in,which are located within the City of Miami Beach: Nn"a- • I am now employed by the City of Miami Beach:Yes U or No Uarwhich department? • Pursuant to City Code Section 2-25(b): Do you have a parent ED, spouse I, child ED brother ED, or sister who is employed by the City of Miami Beach? Check all that apply. Identify the department(s): A/-7/fi 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 only(1) Gender: Male l—D Female 0 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 6:r 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 E2 Employment Status: Employed E--:) Retired l=d Homemaker l-D 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\aFORMS\BOARD AND COMMITTEES\BC Application NEWLY REVISED NEW LANGUAGE.doc 9 M1 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." �� ( I .31111(3 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 COMNIITTEES\BC Application NEWLY REVISED NEW LANGUAGE.doc ADA E. LLERANDI adallerandVa-),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 8v 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 2 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach,Florida 33139, www.miamibeachfl.aov CITY 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. 'P-4 LZ E44AID 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 complywith Miami-Dade County Disclosure Requirements. This means thatthe 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, 2010. 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. ignature: Date: M I A M FDADE M SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name Initial Last Name Disclosure For Tax Year Name: A �. L L. C /2 E ijl t, 1 Ending:ZO/ Z Mailing Address: G r,>. City/State/Zip: G N L Social Security Number: Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: Board where serving:B ,c y C 1 p6vL-s T Term or Employment G `;T� Began on: Esc f f D V I O 2 Department where employed: I✓�0 Work Address: If your home address is exempt from public records pursuant to Florida Statutes§119.07 please check here(read instructions): ® Work Telephone: pzq Home Address: `7 9 71 r 2_F--5 oo L- y t, . �-p T • 3 Street Address ham' ►r4-M i ��R-�K ��-�2 n7f 3 3 y 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 Activity Gv�-1 T CT/te- f4 ANT I ULo I hereby swear(or affirm)that the aforesaid information is a true and correct statement. 4M-)f. . �/o// 3 1 Signature of person disclosing ate signed ADA E. LLERANDI 7871 Crespi Blvd., apt. 3 Miami Beach, FL 33141 R F 0, F I VF D 2013 MAR 32 PM 12: 09 CITY CLLr�'h-�'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: �t 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 SCA