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Dale Gratz 12/31/2014 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 1/2/20114 Dale Gratz 215 E. San Marino Dr Miami Beach, Florida 33139 SUBJECT• Committee on the Homeless Congratulations! You have been reappointed by Commissioner Joy Malakoff 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, Rafael . Granado City Clerk cc: Saul Frances, Parking Director Maria Ruiz 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 TO Dale Gratz RE: Committee on the Homeless 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 (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. ec,4�D j2�� Dale G atz Sworn to and subscribed before me this P-day of , 2013. e ° 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. V\ N At\A 1 B EAC H 88 AIR D AN D G0,Vs.f,l T T EE A P P L C A T 10 N, FOR.,1 Last Name First Name Middle Initial E/ 3,31,30Y 215-* Sat ma-l­lno fD,-. M-8/ Home Address City State Zip Code S� 1e7 C, P,04-.�O cZ�fa Home Telephone Work Telephone Cellular Telephone Email address Business Name Occupation Business Address City State Zip Code Professional License (describe): Expires: Please attach a copy of currently effective professional license. 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 0 or No ED • Demonstrates ownership/interest in a business in Mi mi Beach for a minimum of six months: Yes ED or No, • Are you a registered voter in Miami Beach: Yesr No.EZI • I am now a resident of: North Beach South Beach 1-D-A Middle Beach 54' 0EP7"e Y'IQ,7 4�4 UVOq • 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 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. ❑Ad Hoc Charter Review and Revision Board ❑Debarment Committee ❑Miami Beach Human Rights Committee ❑Ad Hoc Committee Centennial Celebration ❑Design Review Board* ❑Miami Beach Sister Cities Program ❑Ad Hoc Committee Flooding Task Force ❑Disability Access Committee ❑Normandy Shores Local Government Neighborhood Improvement ❑Affordable Housing Advisory Committee ❑Fine Arts Board ❑Parks and Recreation Facilities Board ❑Art in Public Places Committee ❑Gay, Lesbian,Bisexual and Transgender ❑Personnel Board Enhancement Committee(GLBT ❑Beautification Committee ❑Golf Advisory Committee ❑Planning Board ❑Bicycle-Pedestrian Adviso Committee ❑Health Advisory Committee ❑Police Citizens Relations Committee ❑Board of Adjustment* ❑Health Facilities Authority Board ❑Production Industry Council ❑Budget Advisory Committee ❑Hispanic Affairs Committee ❑Safety Committee ❑Capital Improvements Projects Oversight ❑Historic Preservation Board ❑Single Family Residential Review Panel Committee , Vtommittee on the Homeless ❑Housing Authority ❑Sustainabilit Committee ❑Committee for Quality Education in MB ❑Loan Review Committee ❑Tennis Advisory Committee ❑Community Development Advisory Committee ❑Marine Authority ❑Transportation and Parking Committee ❑Community Relations Board ❑Miami Beach Commission for Women ❑Visitor and Convention Authority ❑Convention Center Advisory Board ❑Miami Beach Cultural Arts Council ❑Youth Center Advisory Board ❑Waterfront Protection Committee * Board members are required to file Form 1 —"Statement of Financial Interest"with the State. If you seek appointment to a professional seat (e.g., lawyer, architect, etc.) on the Board of Adjustment, Design Review Board, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish the following information: Type of Professional License License Number License Issuance Date License Expiration Date Page 1 of 4 F-.\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION 46 BOARDS 12-16-2013.doc °O 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 EZI oEZI 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[ZI or No 00 If yes, please explain in detail: • Do you currently have a violation(s)of City of Miami Beach Code?Yes[ZI or Nooif yes, please explain in detail: • Do you currently owe the City of Miami Beach any money?Yes Ea or No 2-2 If yes,explain in detail: • Are you currently serving on any City Board or Committee? es VorNoZllf yes,which board com ittee? • In what organization(s)in the City of Miami Beach do you currently hold membership? lu a -1 Q C�U n r i o -P S� i Ly® rr► le? Name T Position Name � i � �C 6Zen S .�P? • List all properties owned or in which you have an interest within the City of Miami Beach: • Are you now employed by the City of Miami Beach?Yes 0 or No Which department and title? • Pursuant to City Code Section 2-25 (b): Do you have a parent ED, spouse 1—D- 1, child fD brother or sister who is employed 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 What is your race? Zt African-American/Black aucasiaNWhite ID Asian or Pacific Islander El Native-American/American Indian ED Other—Print Race: Page 2 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION 46 BOARDS 12-16-2013.doc Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No"box if not Spanish, Hispanic, Latino/a. k No Yes Do you consider yourself Physically Disabled? W No El 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: • 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 the 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). • 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). • Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities. • Voting conflict—Form 8B is for use by any person serving at the county,city or other local level of government 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; AND 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." Applicant's Signature Date Name of Applicant(PLEASE PRINT) Received in the City Clerk's Office by Name of Deputy Clerk Control 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 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION 46 BOARDS 12-16-2013.doc r a. MIAMI City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK'S OFFICE CityClerk @miamibeachfl.gov Telephone: 305.673.7411 Fax: 305.673.7254 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) Board Member's Name: �� �'� z---� 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 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 filed 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..qov/elections/Library/source of income statement.pdf 2. A "Statement of Financial Interests (Form 1)" For your convenience, the form is'attached. The form can also be downloaded at: http://www.ethics.state.fl.us/ethics/forms.html 3. A Copy of your 2013 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. Signature date Updated: Monday,December 16,2013 Page 4 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION 46 BOARDS 12-16-2013.doc r� MIAMF F_ SOURCE-OF INCOME STATEMENT � i Disclosure for Tax Year Ending Last game First Name Middle Name/Initial L)rp)Ap I Mailing Address—Street Number,Street Name,or P.O.Box City,State,Zip ID Number If your home-address is-your-mailing-address,-and your home-address is-exempt-from public records-pursuant to-Fla.Stat.oiq.w,read Instructions on the following page and check here,❑ I°ollnnn ne an 19mninume ❑County Employee ❑Municipal Employee,Marne of Municipality: o-�a�iziae�«ei�ar�tiu�i[t Department where employed Work address work telephone Term began on Filing as a Boawd rAe"aber i i .❑County_Board-Member ❑_Municipal_hoard-Member,-Aaron Pf-Municipality: Board where serving '1710 —) le �S� Work address work telephone Term began on 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 Income Address Description of the Principal Business Activity I hereby swear(or affirm)that the inforalatioii above is a ti'tae and correct stateniient, UcBaVEu BY ELEG-1 joiijS DLPATjTjv�ciR ❑Hardeopy ❑Electronic Copy Signature of person disclosing i L001 Print name Date signed � l I OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Date/Inifials;�_____ Scanned Date/initials: j 138_SP-14 2/13 -- 1 Dale Gratz / -•- 215 E.San Marino Dr Miami Beach Florida 33139 City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, v^~.miamibeachf1.9ov City Clerk's Office Telephone: 305.673.7411 FAX: 305.673.7254 CityClerk @miamibeachfl.gov Date: May 1, 2012 To: Members of City of Miami Beach Advisory Boards Subject: Financial Disclosure - Section 2-11.1(i) (2) Code of Miami-Dade County All Boards and Committees of the City of Miami Beach, including those of a purely advisory nature, are required to comply the 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 2, 2012. 1. A"Source of Income Statement" (form attached), or 2. A "Statement of Financial Interests (Form1) (form attached), or 3. A Copy of the 2011 Federal Income Tax Returns Failure to file, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, or 60 days in jail, or both. Should there be any questions, please direct them to Ms. Silvia Prieto at (305) 673-7000 ext. 6269. Rafael E. Granado City Clerk \/Vt.tiPl J K10,!_'a3 .'h'I.i i 3 ic'Q(.rinc�I" f `•;VF i Nj i e'YeII b—Vic—an—."LUferc if Uil tvi't_'li•.' b`.'.!i, i.:.l., 7'.1 if!OJ U(:-, —o ilSli.'�`IC About the Honorees 1 4A AMU Jo Asmundsson Jane Gross _ Jo Asmundsson has been making a difference in Miami Beach Dedication to our community and long hours of volunteer since she first arrived here 25 years ago. After leaving her native service are the reasons we are honoring Jane Dee Gross as a England (where she was a CEO of 5 companies!), Jo has served Miami Beach "Woman worth Knowing". Jane relocated to as board member and treasurer of the Miami Dade Gay & Lesbian Miami Beach in the early - 80's after a successful Corporate Chamber of Commerce and remains an active member. She is Marketing Career in Connecticut to work on many historic also a member of the board of Friends of the Miami Public Library preservation projects from the first Hotel Restoration on Ocean System and actively helps them with their book sales each year. A Drive, the Carlyle Hotel, to the first nightclub project, Club Z constant presence at Miami Beach's city hall, Jo was in her 5th (now Mansion) to the first commercial restoration and the year serving as president of the Miami Beach Taxpayers 1939 H & S Kress Building at 12th street and Washington Association and as co-chair of the governmental committee of the Avenue; met and married not yet Commissioner Saul Gross in Miami Beach Chamber of Commerce when she resigned to run for the late 80's and gave birth to Jonathan in 1990. Anonymous Miami Beach City commission. Among her proudest achievements benefit projects have always been Jane's favorites however, is getting 3000 votes and coming in 3rd in the race where she was she regularly volunteers for a wide variety of civic 1 woman against 6 men. She has served on the board of WLRN organizations; Temple Beth Shalom, Daily Bread Food Bank, (our local National Public Radio affiliate) for 3 years and hers is Community Partnership for the Homeless, New Life Family one of the voices you hear in their on-air fundraising drives. Jo Shelter, American Cancer Society, WLRN Radio Reading has also been a reader with WLRN's Radio Reading Service for 16 Services for the Blind, Miami Dade School System. She is a years. Jo takes great pride in having worked on the gubernatorial Board member of People Acting for Community Together campaigns of both Janet Reno and Bill McBride. Now, Jo serves (PACT), Miami Design Preservation League and the Miami on the Miami Beach Community Development Corp. where she Beach Community Health Center. A favorite quote of Jane's devotes her time and talent to supplying affordable housing in the is "Life is what happens to you when you're busy making other City of Miami Beach. Jo sums up her philosophy by saying "I plans"John Lennon 1980. usually go for people who've been given the wrong end of the stick." We are proud to introduce you to Jo Assmundson, a kind, Merle Weiss passionate, very funny woman - quite worth knowing. Merle Weiss might be the most photographed woman on Miami Beach. She is a South Beach institution, original, ®ale Grata interesting and involved. She moved to Miami Beach in 1985 Ms. Gratz has lived in Miami Beach for over 40 years. She and her and has served on the boards of prominent organizations husband have three children and five grandchildren. Ms. Gratz including the Miami Beach Cultural Arts Council, DASH, received her degree from Sophie Newcomb College (today part of Miami Beach Fine Arts Board,Art Center South Florida, Miami Tulane University) and spent several years as a social worker in Film Festival, Miami Gay and Lesbian Film Festival, Dade New Orleans and Chicago. Throughout her 40 years on Miami Human Rights Foundation, and Miami Beach Art in Public Beach, Ms. Gratz has never hesitated to give of herself to her Places. With her tough love attitude she gets things done. With community. She began her volunteer efforts with the National glitz, glitter and glamour, she not only knows how to make Council of Jewish Women and today is a lifetime member of that money for the groups she loves but she knows how to have organization. She served as a Guardian Ad Litem for 11 years, fun. She has been on the events and/or planning committee advocating on behalf of abused and neglected children. Dale has for several groups including Wolfsonian FIU Museum, Miami volunteered in area public schools and served as a mentor for at- Light Project, Winter Party, Museum of Contemporary Art and risk students. She has served on the Board of Trustees and the Dance for Life. In addition to her community involvement, School Board for Temple Beth Sholom, in addition to volunteering Merle was a pioneer in the Miami Beach retail industry. She in the synagogue's monthly "Feeding the Hungry" program for the opened Merle's Closet on Lincoln Road in 1990, when the past 15 years. Eight years ago, Dale signed on as poll worker Road was deserted and people were afraid to venture there earning minimum wage "to help make voting a more pleasant after dark. She was one of the catalysts that helped bring the experience" for the citizens of Miami Beach. Also, Ms. Gratz is a Road back to life. She has also worked for Av-Med Health long-time member of the Commission on the Status of Women Plan and Miami Dade county government. Married to Danny, until she was recently "termed out". We were sorry to see her go - Merle is a proud mother of three sons and a grandmother of but happy to honor her tonight. For Ms. Gratz is one of those five. Merle has always had an interest in others and believes quiet, tireless worker bees. When told she would receive this in the power of individuals to change the world. You will see award, she was shocked, overwhelmingly honored and most of all, Merle at all the best and most important events and humble. "I've never done anything big or spectacular." However happenings. If you want to go places you need to know her outlook on life sums it all up: "I've always felt fortunate in my Merle. With sparkle and dazzle and the moxie to get things life and felt I had to give back in some way or I would not be able done Merle Weiss is not only a Woman Worth Knowing she is to live with myself." a woman everyone wants to know.