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Lily Furst 12/31/2015 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 1/22/2014 Lily Furst 800 Lakeview Drive Miami Beach, Florida 33140 SUN Sustainability Committee Congratulations! You have been reappointed by Commissioner Jonah M. Wolfson to the above referenced agency, board or committee for a term ending: 1213112015. 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 E. Granado City Clerk cc: Saul Frances, Parking Director Elizabeth Wheaton 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. MIAMI BEACH 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 TO: Lily Furst 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 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 Florida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Public Officers 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 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. Lily Furst Sworn to and subscribed before me this 2 7 day of 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 #Yq,wok sob6 rg 14oitc wwxwml munity. `®°ODE SOURCE OF INCOME STATEMENT Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial Fu(s �- ./l� rq/YI 0 Mailing Address—Street Number,Street ame,or P.O.Box 00 Gity,State, ip 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 Work address Work telephone Term began on List below every source of income you received,,along with the address aad the principal activity 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 E-1 ad e r- I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT. ❑Hardcopy ❑Electronic Copy -)-A i disclosing I , I( -A-rkI /---L)Fs Print name Date signed OFFICE USE ONLY Accepted.-Y/ N Deficiency: Processed Date/Initials: Scanned Date/initials: 133 SP-14 2/13 I B E A C H City of Miami Beach, 1700 CenvenHan Center Drive, Miami Beach,Flcri❑da 33139, 'N'MN,nl1aR11�caGlli I.CC`/ CITY CLERK Orrice CiiyClerk@rniami beach R.gav iel:305.673.7411 ,Fax:305.673.7254 Acknowledgement of fines/suspension for Board Members for failure to comply with Miami-Dade Count} Financial Disclosure Code Provision Code Section 2-1 1 .1(i) (2) Board Member name: Z 1 11, ,4/'+'► 0 yr j 1 understand 'that no later than JULY 1 OF EACH YEAR cll members of Boards and Comrni Lees of the City of Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Disclosure Requirements. This meansti"lat`he members of City Advisory Boards, whose sole or primary responsibility is to recommend legislation or give advice to the City CommissiGn;mustfile,even though you may have been recently appointed. You must file one of the following with the City Clcrk of Miami Beach, 1700 Convention Center Drive, Miami Beach: Florida, by July 1, 2010. 1. A`Source Gf Income Statement(attached)or 2. r "Financial Statement(attached(orj 3. Copy of the parson'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. �t-4 27 OC-1ture: Date: