Cheryl Jacobs 12/31/2014 hI M A H
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfi.gov
OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk
Tel: (305) 673-7411, Fax: (305)673-7254
Email CityClerk @miamibeach.gov
03-21-2013
Cheryl Jacobs
20 Island #707
Miami Beach, Florida 33139
,�rs
SUBJECT Capital Improvements Projects Oversight Committee
Congratulations! You have been appointed by the City Commission to the agency,
board or committee named above for a term endin 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.
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,
Rafa E. Granado
City Clerk
cc. Saul Frances, Parking Director
Fernando Vazquez
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.
J� Fop,
NX,ME' Jacobs Cheryl H
Last Name First Name Middle Initial
HOME ADDRESS: 707 20 Island Miami Beach 20 Island 33139
Apt No. Home No./Street City State Zip Code
PHONE: 3058047446 3054487488 cheryl@aiamiami.org
Home Work Fax Email Address
Business Name: American Institute of Architects-Miami Position: Executive Director
Address: 275 University Dr Coral Gables FL 33134
No. Street City State Zip Code
Professsional License(describe): Expries: Aftacf�a cvp?v licanse
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: No
9 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:
See uploaded resume.
•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(3)
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
[1] Capital Improvements Projects Oversight Committee Miami Beach Human Rights Committee
Committee on the Homeless Miami Beach Sister Cities Program
Committee for Quality Education in MB Normandy Shores Local Gov't Neigh.Improvement
Community Development Advisory Parks and Recreation Facilities Board
Community Relations Board Personnel Board
Debarment Committee Planning Board*
Design Review Board* Police Citizens Relations Committee
Disability Access Committee Production Industry Council
Fine Arts Board Safety Committee
Gay,Lesbian,Bisexual and Transgender(GLBT) Single Family Residential Review Panel
Golf Advisory Committee Sustainability Committee
Health Advisory Committee [2] Transportation and Parking Committee
Health Facilities Authority Board Visitor and Convention Authority
Hispanic Affairs Committee Waterfront Protection Committee
Historic Preservation Board Youth Center Advisory Board
Housing Authority Youth Center Advisory Board
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:
r
• Haveyou ever been convicted of a felony: No If yes,please explain in detail:
• 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: Title:
Name: Title:
• List all properties owned or have an interest in,which are located within the City of Miami Beach:
20 Island Avenue#707(condominium)
• 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)
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:
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).
o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office(Miami
Beach Code section 2-26).
o 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 Officers,Employees and Agency Members."
I Cheryl Jacobs agreed to the following terms on 12/11/2011 6:08:31 PM 1 t
Received in the City Clerk's Office by: Date: / /20 1 Control No. d Date: /20 1
Name of Deputy Clerk
OF
IBAIAIMIAMI
Cheryl H. Jacobs, Executive Director
American Institute of Architects (AIA) — Miami
As Executive Director, Cheryl Jacobs directs the nearly 650-member AIA Miami, in the
development and implementation of programming that promotes architecture and design.
Cheryl works closely with AIA Miami's exceptional volunteer board to create forums, seminars
and events that improve awareness of the industry and that build strong community and
member connectivity.
With 20+ years in association and non-profit leadership experience, Cheryl's exceptional
network of high-level contacts in the architecture and real estate industry in south Florida. She
is a strong and inspirational leader with a talent for recruiting and motivating volunteers, and a
passion for the creative industries.
Cheryl has a Bachelor- of Arts in Communications from Fairleigh Dickinson University in
Teaneck, New Jersey and is a graduate of Leadership Miami and Leadership Daytona Beach.
Current professional and community involvement includes:
• Urban Land Institute (ULI) Southeast Florida/Caribbean District Council Advisory
Committee Vice Chair, Sustainability
• Greater Miami Chamber of Commerce (GMCC), Board of Directors
• GMCC Natural Resources Committee Chair
• Miami-Dade County Art in Public Places Trustee
• Commercial Real Estate Women-Miami (CREW), Program Chair
• Coral Gables Chamber of Commerce
Previous
• GMCC Workforce Housing Committee Chair 2008—2010
• GMCC Workforce Housing Committee Vice Chair 2006 - 2008
• GMCC Go Green Task Force Founding Chair (2007-2008)
• ULI Terwilliger Center for Workforce Housing Steering Committee
• ULI Terwilliger Center for Workforce Housing Education/Outreach Co-Chair
• Miami Beach Chamber of Commerce (MBCC) Board of Governors
• MBCC Pillar Trustees Chair 2008 - 2009
• MBCC Sustainable Living Council Founding Chair 2007
• CREW-Miami, Business to Business Committee Chair (2006)
• CREW-Miami Board of Directors, Program Director (2003-2005)
• Miami Beach Fine Arts Board/Festival of the Arts (1997-2002)
• Miami Beach Fine Arts Board Chair/Festival of the Arts (1998-2001)
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 CityClerk @miamibeach.gov
TO Cheryl Jacobs
RE: Capital Improvements Projects Oversight 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.
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 (dependi on the board or committee on which I serve)on
July 1, following the closing of the calendar year/on ich I have se
Seery Ja o s
Sworn to and subscribed before me this day , 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.
r�
/ MI BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.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. Tca c/o
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 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 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.
�- �-
r /_3
Signature: Date:
M I A M I•DADE
SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
C I / For Tax Year
Name: :Endin
L 9
Mailing Address: ICJ ! 07
City/State/Zip:
Social Security Number:
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving: Term or Employment
Began on:
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 of Source of Income Address A Business ivity
AA tm s1
I here wear(or affirm)that the aforesaid information is a true and correct statement.
3
Signature of peroo isclosing Date signed