David Doebler 12/3/12013 /1\1/1 I 4,t,A I B E AC H
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)673-741 1, Fax: (305) 673-7254
Email CityClerk @miamibeach.gov
01-22-2013
David Doebler
33c Venitian Way#66
Miami Beach, Florida 33139
SUBJECT Sustainability Committee
Congratulations! You have been appointed by Commissioner Jerry Libbin
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,
Rafael E. Granado
City Clerk
cc: Saul Frances, Parking Director
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.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
Email CiyClerk @miamibeach.gov
TO David J. Doebler
RE: Sustainability 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.
D J. do�ebller
Sworn to and subscribed before a this day of /'�"' /, 20J 3.
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 safely to all who live, work and play in our vibrant, tropical, historic community.
MIAMI. SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name Initial Last Name
` Disclosure
For Tax Year
Name: r] V, Ending .Z
Mailing Address: . 33C V e ne jic,,j Vtjy 4JLa__
City/State/Zip: 1 A- 8 L— 1
Social Security Number: _
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving:S V S -'A I OJA 0 I C.1 t`I Gd rho j7 Term or Employment
Began on:
Department where employed:
Work Address: r+ISSi o,V C,(L 11f JCg L 9Y S1-110 S /3C1 ? E,q Sr- SA PLC i*�-°n .
PoMt'I)rj0
If your home.address:is exempt from public records pursuant to Q EAG44, GL 33 6
Florida Statutes§119.07 please check here(read instructions): ® Work Telephone:
Home Address: 3 3 C V2^
Street Address
MiA ri ; 4LAC1_I 1✓� 33 �3�
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
Source of Income 'Address Business Activity
(hiSS11nI d 'i')cA(_SV6r6 13y e- S7 SS4me1_6 j) L-fWO 4GV
OmpAty
61; CL1 3306 r Po
:I hereby swear(or affirm) that the aforesaid information is a true and correct statement.
Signa of pe n disclosin Date.Signed
MIAMI BEACH
city of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
WWW miamibeachfl.pov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.741 1 , Fax: 305.673.7254
Acknowledgement of fines/suspension for Board Mein hers for.failure
to comply with Miami-Dade County Financial .Disclosure Code Provision
Code Section 2-11.1(i) .(2)
Board Member name: � ' r U �� j 613 C E/m
I understand that no later than Jul *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,mustffle,:even-though 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 Retum
Failure to fife, according to the Miami-Dade .County Code Chapter 1, General
Provision, Section 14 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 nit to exceed sixty
days, or both.
Sign Dote:
MIAMI BEACH CITY OF WAN411 LEACH
BOARD AND COMMITTEE APPLICATION FOR
NAME: Doebler David J
Last Name First Name Middle Initial
HOME ADDRESS: 66 33c Venetian way Miami Beach FL 33139
Apt No. Home No./Street City State Zip Code
PHONE: 9544157434 dave.doebler @gmail.com
Home Work Fax Email Address
Business Name: Mission Critical Systems Position: Director of Sales
Address: 1347 East Sample Road Pompano Beach FL 33064
No. Street City State Zip Code
Professsional License(describe): Expires: A.Vach a copy the fscanse
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
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months: Yes
•Are you a registered voter in Miami Beach: Yes
• (Please circle one): I am now a resident of: South Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
. I am a strong activist for reasonable solutions to real problems,and see a strong social and
•Are you presently a registered lobbyist with the City of Miami Beach? No
Please list your preferences in order of ranking [1]first choice.[2]second choice,and[3]third choice. Please note that only three f3)
choices will be observed by the City Clerk's Office. (Regular Boards of City)
Affordable Housing Advisory Committee Loan Review Committee
Art in Public Places Committee Marine Authority
Beautification Committee Miami Beach Commission for Women
Board of Adjustment' Miami Beach Cultural Arts Council
Budget Advisory Committee Miami Beach Human Rights Committee
Capital Improvements Projects Oversight Committee Miami Beach Sister Cities Program
Committee for Quality Education in MB Normandy Shores Local Gov't Neigh.Improvement
Committee on the Homeless Parks and Recreation Facilities Board
Community Development Advisory Personnel Board
Community Relations Board Planning Board'
Convention Center Advisory Board Police Citizens Relations Committee
Debarment Committee Production Industry Council
Design Review Board' Safety Committee
Disability Access Committee Single Family Residential Review Panel
Fine Arts Board [1] Sustainability Committee
Gay,Lesbian,Bisexual and Transgender(GLBT) Tennis Advisory Committee
Golf Advisory Committee Transportation and Parking Committee
Health Advisory Committee Visitor and Convention Authority
Health Facilities Authority Board Waterfront Protection Committee
Hispanic Affairs Committee Youth Center Advisory Board
Historic Preservation Board Youth Center Advisory Board
Housing Authority
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: No Years of Service:
2. Present participation in Youth Center activities by your children 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: No If yes,please explain in detail:
• Do you currently have a violation(s)of City of Miami Beach codes: No If yes,please explain in detail:
• Do you currently owe the City of Money Beach any money: No If yes, please explain in detail:
•Are you currently serving on any City Boards or Committees: No If yes,which board?
•What organizations in the City of Miami Beach do you currently hold membership in?
Name: ECOMB Title: member/supporter
Name: SurfRider Title: supporter
•List all properties owned or have an interest in,which are located within the City of Miami Beach:
833 West Ave#404,Miami Beach,33139
• I am now employed by the city of Miami Beach: No Which department?
• Pursuant to City code Section 2-25(b):do you have a relative 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: Male
Ethnic Orgin: Check one only(1)
White
Physically Challenged: No
Employment Status: Employed
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 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,
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 have received,read and will abide by Chapter 2,Article
VII—of the City Code"Standards of Conduct for City O71/9/2013 yy Members."
I David Doebler agreed to the followings rms on
/ 2- /3
Received in the City Clerk's Office by: Date: / /2 13 Control No. ✓ 1 Date: ! 12013
Name of Deputy Clerk
Dave Doebler
33C Venetian Way#66 a Miami Beach, FL 33139 e 954-415-7434 cell a dave.doebler @gmail.com
Application for Sustainability Committee
I was born in Miami and have lived in South Beach for over 10 years as a resident and home owner. I am
a strong activist for reasonable solutions to real problems,and see a strong social and economic
opportunities within environmental protection. I believe that we can implement logical and fiscally
responsible strategies to create a more sustainable city for residents,visitors, and the business
community to enjoy.
Please accept my submission for a seat on the Sustainability Committee. I would enjoy the opportunity
to meet with you to discuss what I can bring to the Committee.
Professional Experience
2006—Present Mission Critical Systems, Director of Sales
IT Security for medium and Enterprise Companies
1994—2006 Aladdin Knowledge Systems, Regional Sales Manager
Anti-Virus and 2 factor authentication manufacturer for Medium and Enterprise Companies
1990-1994 Florida International University
BA Business Management and BA International Business
Activism Experience
2012 City of Miami Beach Leadership Academy
2008 and 2012 Voter Registration - Neighborhood Team Leader
2012 www.votewithvourwalletpromect.com
2009 to present Member of ECOMB (Environmental Coalition of Miami &the Beaches)
2010 to present Volunteer at Surfrider Foundation events
2009 to current Independent Beach and Ocean cleanups (2-3 times per month)
2008 Convinced local cafe with 2 stores to switch from Styrofoam to paper cups
2008 Convinced owners of a new fast food restaurant to switch from plastic cups to
biodegradable corn plastic cups to enhance their business image. Owners ended
up building a franchise and now opening 250 stores—which will all use
biodegradable corn plastic cups and take-away bags.
Issues I care about
1) Plastic and pollution in the Bay and Ocean
2) Economic growth through positive environmental policies
3) Efficient use of existing resources and looking for alternatives
References
Provided upon request