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Tamar Oppenheimer 06/30/2014 J 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 July 30, 2013 Tamar Oppenheimer SUBJECT: Committee For Quality Education In Miami Beach Congratulations! You have been appointed as a Representative of the PTA for Ruth K. Broad K-8 Center to the above Agency, board or committee for a term ending 06/30/2014. If you are unable to accept this appointment, please notify the City Clerk's Office at (305) 673-7,411 . Sincerely, Rafa/E. Granado City Clerk cc: Dr. Leslie Rosenfeld, Liaison Saul Frances, Parking Director We are committed to providing excellent public service and safety to all who live, work and ploy 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)673-741 1,Fax: (305)673-7254 TO Tamar Oppnheimer RE: Committee For Quality Education In Miami Beach 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: 6/30/2014. 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 onfwh ch I have served. Tamar_ Oppnheimer Sworn to and subscribed before me this/P-lda of�E 201 Y 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. / Last a First name Middle lnibat Home Address City State Zip Code U� �� S ���� �a✓V1Gt,r h�me , ti :Cdrn ome Telephone Work Telephone ellular Telephone - Email address (—Os� Z- ecngsecl L'i%Vn\ca.` Business Name Occupation t C2<K l-<;&fi e- An/b s s 4 Business Address J J City State 22 Zip Code Professional License (describe): L Expires: J I s Phase arch a copy or curmrWy errecrnre PrOMs100 mceme Pursuant to City Code section 2-22(4)a & 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. • Resident of Miami Beach for a minimum of six(6) months: Yes U or No • Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: Yes or No • Are you a registered voter in Miami Beach: Yes ED or No FJ • I am now a resident of: North Beach U: South Beach U, Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: • Are you presently a registered lobbyist with the City of Miami Beach?Yes 0;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. Affordable Housing Advisory Committee Fine Arts Board Normandy Shores Local Government Neighborhood Improvement Art in Public Places Committee Disability Access Committee Parks and Recreation Facilities Board Beautification Committee Gay, Lesbian,Bisexual and Transgender j' Personnel isoard Enhancement Committee `GLEBT) Bicycle-Pedestrian Advisory Committee Golf Advisory Committee Planning Board Board of Adjustment* Health Advisory Committee Police Citizens Relations Committee Budget Advisory Committee Health Facilities Authority Board Production Industry Council Capital Improvements Projects Hispanic Affairs Committee Safety Committee Oversight Committee Committee on the Homeless Historic Preservation Board Single Family Residential Review Panel Committee for Quality Education in MB Housing Authority Sustainability Committee Community Development Advisory Loan Review Committee Tennis Advisory Committee Community Relations Board Marine Authority Transportation and Parking Committee Convention Center Advisory Board Miami Beach Commission for Women Visitor and Convention Authority Debarment Committee Miami Beach Cultural Arts Council Youth Center Advisory Board Design Review Board** Miami Beach Human Rights Committee Waterfront Protection Committee Miami Beach Sister Cities Program V,4fPage 1 of 4 Note: If applying for Youth Center Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center. 1. Past service on the Youth Center Advisory Board:Yes ,No Dates of Service: 2. Present participation in Youth Center activities by your children:Yes EJ, No If yes, please list below the names of your children,their ages and the programs in which they participate: Child's name: Age: Program: Child's name: Age: Program: • Have you ever been convicted of a felony?Yes j or No W If yes,please explain in detail: • Do you currently have a violation(s)of City of Miami Beach Code?Yes Q or NoW If 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 Board or Committee?Yes or No _ If yes,which board/committee? • In what organization(s)in the City of Miami Beach do you currently hold membership? Name Position Name Position • List all properties owned or in which ou have an interest within the City of Miami Beach: j UU •Are you now employed by the City of Miami Beach?Yes�_or No Which department and title? :mployed Pursuant to City Code Section 2-25 (b): Do you have a parent � spouse child brother or sister�who is by the City of Miami Beach?Check All that apply_ If"Yes,"identify person(s)and 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 City diversity reporting requirements. Gender: Male _�__ Female Race/Ethnic Categories l What is your race? African-American/Black Caucasian/White 0 Asian or Pacific Islander Native-American/American Indian Other—Print Race: Page 2 of 4 Do you consider yourself to be Spanish,Hispanic or Latinola?Mark the "No"box if not Spanish, Hispanic, Latino/a. 6 No O Yes Do you consider yourself Physically Disabled? No �!Yes NOTE: 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: 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 the board/commitiee you have served on forperiod of one year after(eaving office (Miami Beach City Code section 2-26i). 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). o Sunshine Law - Florida's Govemment-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open govemment can be found in Cf aplpr 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of boards,commissions and other goveming bodies of state and local governmental agencies or authorities. o Voting conflict—Form 8B is for use by any person serving at the county, city or other local level of govemment on an appointed or elected board, council, commission, authority or committee. It applies equally to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. Upon request,copies of these laws may be obtained from the City Clerk. I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; ARID I HAVE RECEIVED, READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY." o r v'ti 1'�l, ✓ A i s kgnature Date Name of Applicant(PLEAS PRINT) Received in the City Clerk's Office by: Name of Deputy Cleric c;onv6l No. Date PLEASE REMEMBER TO ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. Page 3 of 4 Tamar Oppenheimer LCSW 8942 Irving Avenue Surfside, FL 33154 (786)-367-7758 EXPERIENCE PTA Volunteer 2009-Present Bay Harbor, FL ➢ Member of the Miami Beach Health Task Force Committee ➢ Member of the Miami Beach Quality on Education Committee ➢ Child Welfare advocate ➢ Legislation ➢ Fundraising ➢ Volunteer coordinator ➢ Assisted with grant writing ➢ Event coordinator ➢ Cafeteria Monitor ➢ Assisted with Programming • Implementation of emotional intelligence training • Health and wellness • Safety standards—security, CPR and first aid training, nurse and social workers in all public schools Columnist 2010-2012 Miami, FL ➢ Responsible for three to four paragraphs of advice bi-weekly in response to anonymous parenting questions Volunteer for Organic Coop Surfside, FL 2007-2012 ➢ host for organic coop group ➢ organized a group for delivery pick up bi-weekly ➢ dividing of shares ➢ accounting Clinical Social Worker-Private Practice 1/1/03 —2006 - Miami, FL ➢ Perform individual and family assessments and counseling for children, adolescents and adults in a private practice setting. Clinical Social Worker- Jewish Community Services 3/03- 11/03 Miami,FL ➢ Facilitated ongoing group for divorced and separated adults ➢ Performed clinical assessments on families and individuals ➢ Conduct individual counseling with children, adolescents and adults in areas related to eating disorders, substance abuse and general counseling Clinical Social Worker- Private Practice 9/00-6/02 New York,NY ➢ Perform individual and family assessments and counseling for children, adolescents and adults in private practice setting Clinical Social Worker-Jewish Board of Family and Children's Services 4/01 -7/02 Brooklyn, NY ➢ Conducted individual, couples and family counseling with children, adolescents and adults including parent guidance as needed ➢ Facilitated group therapy for children and adolescents ➢ Worked in an on-site program seeing children and adolescents in a school setting ➢ Completed intake assessments for general clients, including families of victims of the World Trade Center disaster. ➢ Participated in disposition conferences with psychologist and psychiatrists ➢ Established treatment plans in collaboration with clients ➢ Obtained authorizations for treatment from managed care companies ➢ Coordinated community and mental health resources and referrals ➢ Educated in the agency's psychodynamic training program Clinical Social Worker- The Post Graduate Center for Mental Health 9/00- 11/01 New York, NY ➢ Completed psychosocial assessments of children, adolescents and young adults ➢ Responsible for intake, disposition and treatment plan formulation ➢ Maintained practice of individual psychotherapy with children, adolescents, young adults and family therapy as well as regular parent guidance sessions ➢ Completed training in psychoanalytic work with children and adolescents Senior Social Worker-Jewish Child Care Association Therapeutic Program 8/98-3/01 - New York, NY ➢ Provided psychodynamic psychotherapy to neglected, physically and sexually abused children with severe emotional, developmental and behavioral difficulties ➢ Participated in weekly interdisciplinary case presentations with case management team ➢ Facilitated foster and biological parent guidance sessions ➢ Taught independent living skills to adolescents individually and in group ➢ Conducted family interview which included home and school visits ➢ Interviewed for and wrote psychosocial summaries and home studies ➢ Coordinated psychological testing and psychiatric evaluations ➢ Assisted in permanency planning for children and adolescents ➢ Supervised a social work intern ➢ Facilitated a psychotherapy group for adolescent girls Social Worker-Talbot Perkin's Children's Services 8/97-8/98 New York,NY ➢ Worked with physically and sexually abused children and their families ➢ Conducted parenting skills group ➢ Monitored and documented family interactions • t ➢ Testified in New York City courts as needed Social Work Intern- The New York Association for New Americans 9/95-7/97 New York, NY ➢ Performed counseling on crisis, loss, separation and immigration process ➢ Facilitated group therapy for young immigrant women ➢ Conducted legal assessments for issues related to immigration including domestic violence, political asylum and refugee status ➢ Provided long and short term counseling and guided safety planning ➢ Conducted group on education of issues related to domestic violence ➢ Member of the UJA Task Force committee and helped in the creation of the Shalom Bayit program Social Work Intern- The Educational Alliance 9/96-5/97 New York, NY ➢ Researched local community and reported on gaps in services ➢ Formulated grants related to families effected by HIV/AIDS ➢ Performed HIV/AIDS counseling for patients and their families EDUCATION 2012 Miami—Dade County College—writing Miami, FL 2011 Florida International University - journalism class audit Miami,FL 2003 /MSW Barry University Miami,FL 1997/MSW Yeshiva University/Wurzweiler School of Social Work New York,NY Awarded full scholarship 1995/ BA The University of Wisconsin Madison,WI 1994 Tel Aviv University/Overseas Student Program Ramat Aviv, Israel CERTIFICATIONS ➢ Licensed in the state of Florida for clinical social work, LCSW#7223 ➢ Certificate in child and adolescent psychoanalytic psychotherapy from the Post Graduate Center for Mental Health ➢ Completion of the Jewish Board of Family and Children's Services loss and bereavement program for children and adolescents ➢ Completion of the Jewish Board of Family and Children's Services post traumatic stress disorder training program ➢ Certified for supervision of social workers, marriage and family therapist and mental health counselors in Florida AFFILIATIONS : Member of NASW, Member of National Committee on Psychoanalysis, Executive Member of PTA Board of Ruth K. Broad Bay Harbor K-8 Center MIAMI- SOURCE OF INCOME STATEMENT - - - Disclosure for Tax Year Ending jLastName — First Nam Middle Namennitiai rV NIaI&W Address—Street Htuaber,Street Name,or PA Box City,State,Zip ID Number YS LA hstrwf m on the fcffmft page and dmxk bemri FFBng as an Employee County Employee []Municipal Employee,Name of Municipartty: Position held or sought t Department where employed Work address Work telephone Term began on ; f1lift its aRawd r County Board Member �1Municipal Board Member=Name of Municipality: 6044' Port POc- r Board where serving Wd*address I& Term beW L „_e� �v`c,e�u rc List below every source of Income you received,along with the address and the principal activity of each source.Include your public salary.Place the sources of income In descending order,with the largest source first.Also,include any source of income received by another person for your benefit.However,the income of your spouse or any business partner need not be disclosed.If continued on a separate sheet,check here. Name Of Source of Imm Addrew of Dw MaMm Wft I hereby swear(or affirm)that the Informat€on above is a true and correct statement. RECEIVED BY ELECTIONS BEPAMMENY. ❑Hardcopy ❑Electronic Copy St at person P tname -- Dad sign + OFFICE USE ONLY Am*ted:Y f N McknW Proceed DatMff&— Scmmd MWWU& { 138 SP-14 2113 City of Miami Beach 1768 Convention Center Drive, Miami Beach, Florida 33139, 4wh4.mi amt beachf 1.goy► CITY CLERK'S OFFICE CityClerk@miamibeachfl.gov Telephone: 385.673.7411 Fax: 365.673.7754 Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami- Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2) All Board Member's Name: Y�� 1 I understand that no later than July 1, of each year aff 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 Financial 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 they may have been recently appointed. One of the following forms must be tiled with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than 12:00 noon of July 1, of each year. 1. A "Source of Income Statement" For your convenience, the form is attached. The form can also be downloaded at: http://www.miamidade.ciov/elections/Library/source of income staternent.pdf 2. A "Statement of Financial Interests (Form 1)" For your convenience, the form is attached. The form can also be downloaded at: hffp://www.ethics.state.fl.us/ethics/f`orms.htmi 3. A Copy of your 2012 Federal Income Tax Return Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, 60 days in jail or both. ( - ,1,-*7 - - <� /.-z-d /2a Signature Efate F:ICLERI$ALLtaFORMSIBOARD AND COMMITTEESIBC Application revised 5-22-13 FINAL.doc Updated:Sunday,August 25,2013 Page 4 of 4