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Reagan Pace 07/31/2014 FORMER PUBLIC DEFENDER THE HOME ADDRESS, TELEPHONE NUMBERS, AND PHOTOGRAPHS FOR CURRENT OR FORMER SATE ATTORNEYS IS EXEMPT FROM PUBLIC DISCLOSURE PURSUANT TO SECTION 119.07 1 (4)(d)2.a., F. S . DO NOT RELEASE WITHOUT FIRST REDACTING MIAMIBEACH 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 01-23-2014 Reagan Pace 2059 North Bay Road Miami Beach, Florida 33140 SUBJECTS, Ad Hoc Committee Centennial Celebration Congratulations! You have been appointed by Mayor Philip Levine to the agency, board or committee named above for a term ending: 7/31/2014. 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 office. 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, R ael E. Granado City Clerk cc: Saul Frances, Parking Director Max Sklar 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. 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: Reagan Pace RE: Ad hoc Committee Centennial Celebration 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: 07/31/2014. 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 Amendment and Code of Ethics for Public Officers andunderstand 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 the State of Florida (depending on the board or committee on which I serve) on July 1 st, following the closing of the calendar year on which I have served. Reagan Pace o and subscribed before me thisA/ day of �/4� 2014 Sworn t y , ' t f v Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees for additional information regarding the Financial Disclosure Requirements. we are c�4�mf ,ty'iii► , , ►� �I� i �9 � �r,€��19a�lll► ilt�,dN �h�1��Yb9�ur�ilfi;�nO1� �rdl �7�, A1 ►unity. v \i)1—\/ v \l D rb\v ri BOARD AND COMMITTEE APPLICATION FORM N Ct V) Last Name First lN me Middle Initial .90 ch ffi 4P Home Address City State Zip Code JL4% UL%--*,MeCLW Home Telephone Work Telephone Cellular Telephone Email addre s Business Name Occupation Business Address pCity� 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 or No • Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months- Yes LJ or No LJ • Are you a registered voter in Miami Beach: Yes,or No • I am now a resident of: North Beach Q South Beach LJ Middle Beac • 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 Q or NQ-2-5t 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. 0 Ad Hoc Charter Review and Revision Board ❑Debarment Committee 0 Miami Beach Human Rights Committee III 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 0 Bicycle-Pedestrian Advisory Committee 0 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 ❑Committee on the Homeless ❑Housing Authority ❑Sustainability 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 0 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 F.J Dates of Service: 2. Present participation in Youth Center activities by your children: Yes LJ No LJ 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 Li or No,,jF�'Q"j If yes, please explain in detail- • Do you currently have a violation(s) of City of Miami Beach Code? Yes Q or No� If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money?Yes�_.j or No4C3 If yes, explain in detail: •Are you currently serving on any City Board or Committee?Yes L!or NoCA 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 i which yo have n interest within the ity of Miami Beach: •Are you now employed by the City of Miami Beach? Yes[:J or No Which department and title? • Pursuant to City Code Section 2-25 (b): Do you have a parent 1:3, spouse �D, child brother 1:j or sister F who is employed by the City of Miami Beach? Check all that apply. n If"Yes,"identify person(s)and department(s)- /4j y' 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 LJ Femal Race/Ethnic Categories What is your race? African-American/Black Caucasian/White LJAsian or Pacific Islander Q Native-American/American Indian Other—Print Race.- Page 2 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION 46 BOARDS 12-16-2013.doc 1 Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the"No"box if not Spanish, Hispanic, Latino/a. No Yes Do you consider yourself Physically Disabled? 491No LJ 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." U&JU V I �= . 0j Applicant's T, nature Date Name of ApR nt(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 MJA/Ml BEACH City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.g_ov 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: 6u, an E . pao� L) 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 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.gov/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- hftp://www.ethics.state.fl.us/ethics/forms.htmi 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 f 1 c C,- o a 1 Member Since 01/30/2008 Reagan Elizabeth Hoy I 0049109 Reagan Pace 2059 North Bay Road,Miami Beach, Florida 33140 Phone:305-807-6118 E-Mail:casadipace @me.com Objective Applicant for Appointment to the Miami Beach Ad Hoc Centennial Celebration Committee Experience . Plymouth Preschool Board Volunteer August 2012-Present Co-Chair of the Springfest Carnival. This event is the largest fundraiser for Plymouth Preschool raising$25,000 (on average)for the school general fund. Responsibilities include coordinating silent auction, soliciting donations and underwriting for event, promotion through press and alumni, volunteer recruitment, booking vendors and overall "day-of'execution. Classroom Parent Advisor. Serve as administrative advisor for two classrooms for entirety of the 2013-2014 school year. Communication liaison between faculty and parents, organization of classroom activities during the year, maintain class calendar and website, promote school events. Miami Beach Botanical Garden Halloween Ball Committee July 2013-October 2013 Assisted with the planning and execution of the Inaugural Halloween Ball at the Miami Beach Botanical Garden. Responsible for promotion, securing vendors, logistics, communication, creative design and concept for the event. Miami Public Defender's Office June 2007-April 2008 Provided volunteer legal services for the Felony Division of the Public Defender's Office. Responsible for all aspects of criminal defense representation from intake interview to jury trial which included witness interviews, depositions, pre-trial hearings, plea-bargain negotiations,jury selection and trial. Law Offices of Elser& Foster-Morales September 2005-April 2007 Provided legal services to clients of high profile divorce law firm. Responsibilities included client interviews, financial discovery, assisting with forensic accounting discovery, deposition preparation, hearing preparation, trial preparation and facilitating client mediation. Education Juris Doctor, University of Miami School of Law August 2002-June 2005 Bachelor of Arts, The Ohio State University June 1997-June 2001 Graduated Cum Laude. Minor in Spanish. Member of the National Society of Collegiate Scholars and the Golden Key Honors Society. Studied Abroad at the Jose Ortega Gasset y Fundacion in Toledo, Spain. Skims Exceptional multi-tasker, friendly/personable, coordination and promotion of events, executing tasks, scheduling and managing a task list, creative conceptualization of events, volunteer recruitment, conversational Spanish Its\€AN NI BL AC City of Miami Beach, 1700 Convention Center Drive, Mierni Beach,Flcrida 33 134, .r,vN.miarni!oeach�.acv ' CITY CLERK Office CilyClerkl_amiami beach ifl.gov Tel:305.673.74 1 1 ,Fax:30-.673.723 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: ee understand that no later than JULY i 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. ►his 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 follovving writh the City Clerk of Miami Beach, 1700 Convention Center Drive, i�J1iami Beach, Florida, by July 1, 2010. 1. A"Source of Income Statement(aU ached) or 2. A"Financial Statement(aLLached(orj I 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 X500.00 or by imprisonment in the county jail for a period not to exceed sixty days, or both. � l q Signature: Date: M D DE SOURCE OF INCOME STATEMENT a Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial 'VO13 9 �} �• Mlaili g 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.§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 e14 P �o� i ���� 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 1 Al AA AAMA I here wear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT. ❑ Hardcopy ❑ Electronic Copy Nignature of perso disclosing tic E 1� 130 Print nam �j Date signed I OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Date/Initials: Scanned Date/Initials: 133 SP-14 2/13 JA o;;,o;zao, Reagan Elizabeth Hoy 0049109