Laurie Kaye Davis 12/31/2013 V
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)673-7,411, Fax: (305)673-7254
July 26, 2013
Laurie Kaye Davis
5065 Alton Road
Miami Beach, Florida 33140
SUBJECT: Personnel Board
Congratulations! You have been appointed by the City Commission 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.
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.
I
Sincert,
:fael E. Grana o
City Clerk
cc: Saul Frances, Parking Director
Sylvia Crespo-Tabak, Board Liaison
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
City Wide Permit Application -(Parking Department Form)
Booklet-Guide to the Sunshine Amendment and Code of Ethics for Public Officers
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,vrww.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk
Tel: (305)673-7,411, Fax: (305)673-7254
Email CityClerk @miamibeach.gov
TO Laurie Kaye Davis
RE: Personnel Board
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.
I 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.
c�Laurie Kaye D vis�
Sworn to and subscribed before me this r 7 day of U �S( , 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.
M I A M FDADE
SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
�L-1� Iq For ax Year
Name: End n g: Z0V
Mailing Address:
City/State/Zip:
curity Number:
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
I
Board where serving: 6A��Alk L Term or Employment
Began on: 7 �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: _ l(0 -
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:
Descr1pUPWE f t ---Pr>Inc� af;=
, Narne ofrSource
PQ
ofaIncome<; 7M fix, .. .,.,.*._Address". r _' _pBusinessAciv�
C r Feu Z'X'51n C
UO3 L .
I hereby swear(or affirm) that the aforesaid information is a true and correct statement.
Signature of person disclos ng Date signed
NMI BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach,Florida 33139,
www.m i a m i bea c h fl.gov
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: 42,///C ///�
1 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 meansthatthe
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.
` g
Signature: Dat