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Bruce Orosz 12/31/2014 t0ir-0 IV , oEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Rafael Granado, City Clerk Tel: (305)673-7411, Fax: (305)673-7254 Email CityClerk @miamibeach.gov 11/15/2012 Bruce Orosz 5025 Collins Ave. apt #901 Miami Beach, Florida 33140 `SUBJECT: Production Industry Council Congratulations! You have been reappointed by Commissioner Ed Tobin to the above referenced agency, board or committee for a term ending: 1213112014. 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, Ra el E. ranado City Clerk cc: Saul Frances, Parking Director Graham Winick 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. MIAMIBEACH 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 TO Bruce Orosz RE: Production Industry Council 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 served. Bruce Or z Sworn to and subscribed before a this 3 day of Vgvt , 2013. f � 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. i V � I J1--\1 V � 10[/�"� � CITY OF MIAMI BEACH OARD AND CITTEE APPLICAT N FORM s� C� J NAME: 6�&U l: / Last Name First Name Middle Initial HOME ADDRESS: qO ( _ D �i �..5 �L -73 y fl Apt No. House No./Street City State Zip Code PHONE: 30� ECO 24 ,365 s.38-j 84 lC�SZ� 7-A;��e-07 a-l'i -, 6".., Home Work Fax Email address Business Name: qi� Position: S Address: No. Street City State Zip Code Professional License(describe) 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 ownershiprnterest 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 or No 0 • Demonstrate an ownership/interest in a business in iami Beach for a minimum of six(6) mon;lease:Ye ❑or No ❑ •Are you a registered voter in Miami Beach:Yes or No ❑ • (Please circle one): I am now a resident of. North Beach South Beach Mi Beach • I am applying for an appointment because I have special abilities, knowledge and experience. list below: •Are you presently a registered lobbyist with the City of Miami Beach?YeV or No ❑ Please list your preferences in order of ranking [1]first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk's Office. (Regular Boards of City) ❑Affordable Housing Advisory Committee 0 Marine Autho6ty ❑Art in Public Places Committee ❑Miami Beach Commission for Women ❑Beautification Committee ❑.Miami Beach Cultural Arts Council ❑ Board of Adjustment* ❑Miami Beach Human Rights Committee ❑ Budget Advisory Committee ❑Miami Beach Sister Cities Program ❑Capital.Im rovements'Projects Oversight Committee ❑Normandy Shores Local Government Neigh. Improvement ❑Committee on the Homeless ❑Parks and Recreation Facilities Board ❑Committee for Quali Education in MB ❑Personnel Board ❑Community Development Advisory ❑Planning.Board* 0 Community Relations Board ❑Police Citizens Relations Committee ❑Convention Center Advisory Board ❑Production industry Council ❑ Debarment Committee 0 Public Safety Advisory Committee 0 Design Review Board* ❑Safety Committee ❑ Disability Access Committee ❑Single Family Residential Review Panel ❑ Fine Arts Board 0 Sustainability Committee 0 Gay, Lesbian, Bisexual and Trans ender GLB 0 Transportation and Parking Committee ❑Golf Advisory Committee 0 Visitor and Convention Authority 0 Health Advisory Committee 0 Waterfront Protection Committee ❑ Health Facilities Authority Board 0 Youth Center Advisory Board ❑ Hispanic Affairs Committee 0 Historic Preservation Board o ' ❑ Housing Authority 0 Loan Review Committee *Board Required to File State Disclosure Form 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❑ 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: ;C::LE2`.�A.LL\ur�JRMS\BGARC AND COMMITTEES\aC Application.doc � 3 l3 *Have you ever been convicted of a fel Yes ❑or No If yes, please explain in il: • Do you currently have a violation(s) of City of Miami Beach codes: Yes ❑ or No f yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes❑' or No If yes, explain in detail • Are you currently serving on any City Boards or Committees: Yes or No❑. If yes: which board? • What organizations in the City of Miami Beach do you currently hold membership in? Name: � Title: Name: Title: • List all properties owned or have an interest in, which are located within the City of Miami Beach: ._�-U?iS <:�O—GlZ A.Z 4-4- • I am now employed by the City of Miami Beach: Yes❑ or No Which department? • Pursuant to City Code Section 2-25(b): Do you have a parent ❑, spouse❑, child❑, brother❑, or sister 0 who is employed by the City of Miami Beach? Check all that apply. Identify the department(s): /V�10 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: ale ❑ Female Ethnic Origin: Check one only (1) 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,on the Pacific Islands. This area includes,for example,China,India,Japan, Korea,the Philippine Islands and Somoa. ❑American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America,and who maintain Cultural identification through tribal affiliation or community recognition. Physically Challenged: Yes 0 or No . Employment Status: Employe Retired 0 Homemaker❑ Other❑ 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 City 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 d truthfulness of the application and have received, read and will abide by Chapter 2, Article VII -of e City Code " andards of Co d t for City Offic Employees and A encyM mb �- Applica g ure at Name of Applicant(PLEASE PRINT) Please attach a copy of you esume to this application NOTE:Applications will remain on file for a.period.of one(1)calendar year. Received in the City Clerk's Office by: / !�/ °S Date o� / 0 A Control No. 37/ Date.. /� O' Name o Deputy ut Clerk Inc.ACTproductions, *, Bruce Orosz: Born in New York City and educated at Hunter College and New York University;Bruce Orosz's start in the entertainment industry was a natural expansion from the specialty services provided in the travel business he owned,in New York and L.A.,into a full-service production company—ACT Productions is a turn key production company for events,global advertising campaigns and television shows nationally and internationally. ACT Productions clients have included Coca-Cola,M&M Mars,Canon,Elle, Vogue,Vanity Fair,Diesel, A/X Armani Exchange,Otto Versand,Neiman Marcus,Macys,Target and the Islands of the Bahamas Campaign. Live events clients include: the Inte Awards,CLIO global advertising awards,Art Basel,Miami Beach Polo World Cup for the ninth year and eight years producing the Orange Bowl's pre-game and halftime shows for network television. ACT Productions,founded in 1981,evolved into bases in New York,Phoenix and Miami Beach. It is now a multi-dimensional communications entity: commercial production,event production and television pilots/shows and televised events. Sports,music,corporate and television campaigns&shows are the focus. Highlights: 2013 The Orange Bowl.Pregame and halftime events since 2006 featuring... Jake Owen,Train,Goo Goo Dolls,Kool&The Gang, Clara,ZZ Top,Doobie Brothers,Gladys Knight and Taylor Hicks. 2013 ESPN/BCS National Championship VIP Tent—Featured Performer The Fray 2013 BCS Gala Key Biscayne 2011-2012 91h and10`h Annual Fedex/St.Jude Angels&Stars Gala 2012 FIBA 3x3 World Tour Finals 2012 Multiply Dolphin Events 2011 Will Castro's Custom Auto Design ow, "Unique Whips"will air in various countries including tm q P g Australia&China 2011 Chicago Beach Polo World Cup Owner and Producer with top polo players from a dozen countries around the globe. 2006-2012 Miami Beach Polo World Cup Owner and Producer with top polo players from a dozen countries around the globe. 2004-2012 Art Basel Miami Beach,the most important art show in the United States,a cultural and social highlight For the Americas. 2010 Don Shula 80`h birthday party. 2009 The Bachelor,reality series for France. Shot in Miami Beach,NYC, Las Vegas and airing in 2010. 2009 Dolphin Stadium events including renaming to Land Shark Stadium with Jimmy Buffett performance. Boards and Committees: Bruce Orosz is the co-chair of the Miami Beach Entertainment Task Force. He is an Executive Committee member of the GMCVB.He is a member of the PIC,the production industry council for Miami Beach. Founder 1995 with partner Doug Barr,Hollywood&Vine Cellars,"2480"Cabernet and Chardonnay from Napa Valley. 407 incoln Road,Suite 302,Miami Beach FL 33139(305)538-3809(800) .78-7330 www.actproductions.com I Ali I BEACH city of Miami Beach, 1700 Convention Center Drive, Miami Beach,Florida 33139, vrww miamibeachfl.igov CITY CLERK Office CifyClerk @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: 0� CA D S Z I understand that no .later-than July 1, of each year all members of.Boards and Committees of the .City of Miami Beach, inciudin_g 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-fiie,:eventhough you may have..been recently appointed. You must file one ofthe-following with the City Clerk of Miami Beach, 17D0 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 Return Failure to-fie, accordtng to th e M• ni-Dade County Chapter er 1 General Provision, Section 1 Z may subject the person or firm to a:fi ne not to exceed .$500.00 or by imprisonment]n the county.jail for a period nc t to exceed sixty days, or.both. S, n ure: ate: M I A M I•DADE SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name/Initial Last Name Disclosure For Tax Year Name: �0 S Ending: l Mailing Address: City/State/Zip: gchm Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: Board where serving: Term or Employment y Began on: / 3 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 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 gf Source of Income Address Business Activity a J-kO Z�-t.L' Q A- I hereby ar(or affirm)t t the aforehAidiinWr',m nlrj~J fte and correct statement. Sign of person dis&osrng Date signed