Frederick Charles Sake 12/31/2014 /'V1 AIV,I B E AC
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)673-741 1, Fax: (305) 673-7254
Email CiyClerk @miamibeach.gov
04-25-2013
Frederick Charles Sake
SUS BJECT_; ; Bicycle-Pedestrian Facilities Advisory Committee
Congratulations! You have been appointed by Commissioner Jerry Libbin
to the agency, board or committee named above for a term ending: 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 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,
Rafael E. Granado
City Clerk
cc: Saul Frances, Parking Director
Jose Gonzalez
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,www.miomibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
Email CityClerk @miamibeach.gov
TO Frederick Charles Sake
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: 12/31/2014.
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 comm� a on which I serve)on
July 1,following the closing of the calendar year on which a rved.
Fr derick Charles Sake
Sworn to and subscribed before m his day of" , 2013.
Silvia eto
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 safely to all who live, work and play in our vibrant, tropical, historic community.
Sake Frederick C
Last Name First Name Middle Initial
5605 LaGorce Dr Miami Beach FL 33140
Home Address City State Zip Code
3058689911
3056733700 3057733031 LawMiami @aol.com
Home Telephone Work Telephone Cellular Telephone Email address
Law Offices of Frederick Charles Sake, PA Position:Attorney and President
Business Name
4770 Biscayne Blvd. Ste 640 Miami, FL 33137
Business Address City State Zip Code
Professional License (describe) member of Florida Bar_ Expires:_n/a B-PFAC (Regular Boards of City)
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.
a Resident of Miami Beach for a minimum of six (6) months: Yes x or No 0
o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six months: Yes 0.1 or No
o Are you a registered voter in Miami Beach: Yes x or No C__1,
. I am now a resident of: North Beach 01 South Beach �:' Middle Beach x
o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
Prior Chairman of the Mayor's Blue Ribbon Bikeways Committee
. Are you presently a registered lobbyist with the City of Miami Beach? Yes LJJor No x
❑Affordable Housing Advisory Committee ❑ Fine Arts Board ❑ Normandy Shores Local Government
Neighborhood Improvement
❑Art in Public Places Committee ❑Gay, Lesbian, Bisexual and Transgender ❑ Parks and Recreation Facilities Board
Enhancement Committee GLBT
❑ Beautification Committee D Golf Advisory Committee ❑ Personnel Board
❑ Board of Adjustment* * ❑ Health Advisory Committee ❑ Planning Board**
l.]Budget Advisory Committee ❑ Health Facilities Authority Board ❑ Police Citizens Relations Committee
CI Capital Improvements Projects ❑ Hispanic:Affairs Committee ❑ Production Industry Council
Oversight Committee
❑Committee on the Homeless ❑ Historic Preservation Board —ESafety Committee
❑Committee for Quality Education in MB ❑ Housing Authority ❑ Single Family Residential Review Panel
❑Community Development Advisory ❑ Loan Review Committee ❑Sustainability Committee
❑Community Relations Board ❑ Marine Authority ❑Tennis Advisory Committee
❑Convention Center Advisory Board ❑ Miami Beach Commission for Women ❑Transportation and Parking Committee
❑Debarment Committee ❑ Miami Beach Cultural Arts Council ❑Visitor and Convention Authority
❑Design Review Board* ❑ Miami Beach Human Rights Committee ❑Youth Center Advisory Board
❑Disability Access Committee ❑ Miami Beach Sister Cities Program ❑Waterfront Protection Committee
* Board Required to File State Disclosure Form
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
C:\Downloads\B-PFAC\BCApplication\BCApplicalion.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 LJ No Ll Years of Service:
2. Present participation in Youth Center activities by your children Yes , ' No 1:1. 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:
aHave you ever been convicted of a felony: Yes Ol or No x If yes, please explain in detail:
o Do you currently have a violation(s)of City of Miami Beach codes:Yes U or No x. If yes, please explain in detail:
o Do you currently owe the City of Miami Beach any money: Yes U,or No x If yes, explain in detail
Are you currently serving on any City Boards or Committees: Yes E or No x. If yes; which board?
What organizations in the City of Miami Beach do you currently hold membership in?
LaGorce/Pinetree HOA _Vice President
Name Title
Name Title
• List all properties owned or have an interest in,which are located within the City of Miami Beach:
5605 LaGorce Dr.
• I am now employed by the City of Miami Beach:Yes J or No x.Which department?
• Pursuant to City Code Section 2-25 (b): Do you have a parent'.W';, spouse U, child 1 brother 0,or sister 0 who is
employed by the City of Miami Beach? Check all that apply. Identify the department(s):_No
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 x Female
x 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.
0.Hispanic: All persons of Mexican, Puerto Rican, Cuban,Central or South American,or other Spanish culture or origin,regardless of race.
Ell
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.
n.
L-4 American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America,and who maintain
Guttural identification throw h tribal affiliation or community recognition.
Physically Challenged: Yes 'or No x
Employment Status: Employed x Retired! Homemaker 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.
C:\Downloads\E-PFAC\BCApplication\BCApplication.doc
140TE: 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:
o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).
o 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).
o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-11.1).
o 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 AG NCY ME ERS."
/ Frederick Charles Sake
Applic t'YA ig toe bate Name of Applicant(PLEASE PRINT)
Rece' a in the City Clerk's Office by
ame of Deputy Clerk CoM rol No. ate
C:\Downloads\B-PFAC\BCApplication\BCApplication.doc
MIAMIDADE
SOURCE OF INCOME STATEMENT
I
I'.
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
Frederick Charles Sake For Tax Year
Name: Ending: 2012
Mailing Address: 4770 Biscayne Blvd. Ste 640
City/State/Zip: Miami, FL 33137
Social Security Number:
I
Filing as a: ® County Employee:
® Municipal Employee of: n/a
Position held or sought: n/a
Board where serving: B-P FAC Term or Employment
Began on: n/a
n/a
Department where employed:
Work Address: n/a
If your home address is exempt from public records pursuant to 3056733700
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:
Description of the Principal
Name of Source of Income Address Business Activity
Law Offices of Frederick Charles Sake Attorney
4770 Bisea�,ne Blvd
iami,
I hereby s r r affirm at the aforesaid information is a true and correct statement.
Si r f person isclosing Da signed
�
City u, Miami Beach
1700 Convention Center Drive,
Miami Beach, Florida 33139,
CITY CLERK'S OFFICE ChyC|orh@miomibeaohO.gnv
Telephone: 305.673J411 Fax: 305-673J254
Acknowledgement offinms/suspanmion for Board Members for failure to comply with Miami-Dade
County Financial Disclosure Code Provision Coda Section 2-11.1(D (2)
Board Member's Name: ie)c )'<-7 0— - 45Jas—f!::�-C.
\ understand that no later than July 1, of each year all rnennbara of Boards and Committees of the City of
K4i8nli Beach, including those of purely advisory n8ture, are required to comply with Miami-Dade County
Disclosure Requirements. This means that the members Of City Advisory BOords, whose sole or primary
responsibility is to r8Cornrn8Od legislation or give advice to the City COnnrnissiOn, rnuS1 fi|e, even though you
may have been recently appointed.
You must file one of the following with the City Clerk of Miami Baaoh, 1700 Convention Center Oriva, Miami
Beach. Florida, by July 1 each year.
1. A "Source of Income Statement" (attached); or
2. A ^Finanoia| 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 afinm not to exceed $500.00 or by imprisonment in the county jail for
a period not to e e sixty day or both.
S i g n a t u re,// bdte
'
C:\Downfoads\B-PFAC\BCApplication\BCApplication.doc