David Doebler 12/31/2015 `
City of Miami Beach,. 1700 Convention Center omm'Miami eeoc6' Florida 33139,
OFFICE Op THE CITY CLERK, Rafael Gmnodo,City Clerk
Tel: (305) 673-7411, Fox: (3O5) 673-7254
1/2/2014
David [)o2bler
33O\/eDiti@M Way #66
Miami Beach, Florida 33139
Sustainability Committee
Congratulations! You have been reappointed bv Commissioner Micky Steinberg
to the above referenced agency, board or committee for a term ending: 12/31C2015.
If you are unable to accept this oppointrnent, please notify the City Clerk's Office at
(3O5) 873-7411.
Please read the enclosed material carefully. Again, congratulations and good luck.
S)DO8nel
L~~^
R ael E. Gr@D@dO
City Clerk
cc: Saul Frances, Parking Director
Elizabeth Wheaton
ATTACHMENTS:
Letter ofAppointment
Oath
City Coda Ordinance aeotion, applicable to ogenoy, board or committee
City Code Section 2'22. 2-23. 2_24. 2-25. 2-20. 2-2458. 2-45B
Ordinance 2OO8'3543-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 '(Perking Department Form)
Booklet-Guide to the Sunshine Amendment and Code of Ethics for Public Officers and
Employees
We are committed to pmw6me excellent public service and safety to o8 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.miamibeachfi.gov
OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk
Tel:(305)673-7411,Fax:(305)673-7254
TO David J. Doebler
RE: Sustainability 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: 12/31/2015.
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 is -.I-have s
avid J. Doebler
Sworn to and subscribed before me this `7 day of N VM-1014.
Silvia Prieto
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfi.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.
A 1 A f
/"ol"V k� bh L rl
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City of Miami Beech,
1700 Ccnvamion Cent-er Drive,
Wcmi 6eccn,Ficridc 3 313 9,
`N`MN.miC�'t l�`cCCn7.CG`/
CiIY CLERK OFiC� CiyClerl<`micmibeccn7.go�
-e!:30q.673.7A i 1 ,rcx:305.673.725 '
Acknowledgement of fine=/suspension for Board Members for failure
to comply with Miami-Dade County Financial Disclosure Code Provision
Code Section 2-1 1 .1(i) (2)
Board Member name:
undertand that no later than .DULY 1 OF EACH YEAR ail rn rnbers of Boards and
Committees of the City; of Miami Beach, including those of a purely advisory nature, a;c
r-equire=d to complyviith Miami-Dade County Disclosure Requir:.ments. ►his means thatth e
rn.mb�rs Of Clt;!r.dvisory Boards, vi hose- sole- or primary responsibility is to recommend
le.gis[ation o r give advice to the Ci�y Commission; must illy,even though you may'r�ave begin
rc�ntly appointed.
YOU Must file onl of the folloviing with the City Clerk\ of Miami B:,ach, 1700
0cnye_ntla h Centee r jDrlve. I`'v`�lami Beach. FIar ida1 Dy�:'ly 1,. 2010.
1. A`'Source of Income Statement(ai-Cached) or
%. inancial Statement(EU_=shed(orl
3. ;"Copy of the parson's current F:.deral income ►ax Return
Failure to file, according to the Nflarni-Dade County Code Chapter 1, General
Provision, Section 1-5 may subject the per son or firm to a fine not to Exceed
5500.00 or, by imprisonment in the county jail for a period not to exceed sixty
days, or both.
�'gnature: Dot;,:
"'I®°� SE SOURCE OF INCOME STATEMENT
Disclosure for Tax Year Ending Last Na a First Name Middle Name/Initial
�rA
'0z
Mailing Address—Street Number,Street Name,or P.O.Box
33 G Vey-/c,In
City,State,Zip ID Number
yV l ` ; 63 L G!—i! (� 3 3 134
If your home address is your mailing address,and your home address is exempt from public records pursuant to Fla.Stat.§119.07,read
instructions on the following page and check here.❑
Filing as an Employee
❑County Employee ❑Municipal Employee, Name of Municipality:
Position held or sought
Department where employed
Work address Work telephone Term began on
Filing as a Board Member
❑ County Board Member Municipal Board Member, Name of Municipality:
Board where serving
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 RtWiption of the Principal Business Activity
(,S C tr1CA J YS�rn� t3y� t14 5-T sArn('LC 2D 330Lc4 5�5CU(L/PA P-)tr&
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
Sign of person cl
0 0
Print name Date signed
OFFICE USE ONLY Accept;d: Y / N Oeficiency: Processed Date/lnitials: Scanned Darr/Initials:
13g-SP-14 2/13