Cindy Brown 12/31/2015 M I AM I BrEACH
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
Cindy Brown
1873 NE 154 Street
Miami, Florida 33162
JBJEC Gay, Lesbian, Bisexual and Transgender
Congratulations! You have been reappointed by Commissioner Jonah M. Wolfson
to the above referenced agency, board or committee for a term ending: 12/31/2015.
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,
R"Er ado
City Clerk
cc: Saul Frances, Parking Director
Vania Pedraja
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.
I
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
TO: Cindy Brown
RE: Gay, Lesbian, Bisexual and Transgender(GLBT)
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: 12/31/2 015.
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.
Ci idy Brown
Sworn to and subscribed before me this day of , 2014
c
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 Ir �Arfil( f�► 9� i� ���3i. � i �n�P� N11 m,wok
M%1AI V Air'
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City of Mic;r,i Becch,
1700 Convention Center Drive,
Miami Beach,Ficrida 33 139,
r��✓.nianiheac�I.ac�
CIIY CLERK Offfice 0yClerk@MiamibeachI'I.9ov
Tel:305.673.741 1 ,Fax:305.673.7254
Acknowledgement of fines/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
understand the no layer Shan JULY 1 OF EACH YEAR cll member of Boards and
Commi Lees of the City of Miami Beach, including those of a purely advisory nature, are
required to comp[y with Miami-Dade Counby Disclosure Requirements. This means tnatthe
members of City advisory Boards, whose sole or primary responsibility is to recomend
legislation orgive advice to the City Commission,mustriie,even though;'0u may have been
recently appointed.
OU mUSt file One of the follol,ving iith the Cit.i Clerk of l\/ Beach, 170
Convention t� D Miami , ida bN July 1, 2010.
Center,�r rive, 1'�mi 3�G�n: FIOri� , � .
1. Jource of Income Statement(ai_�ached) or
2. a [na<<cial Statement (arached( or!
3. a Copy of the person's currnt Federal Income Tax Retum
Failure to file, according to the t iiami-Dade County Code Chapter 1, General
Provision, Section -5 may subject t►e person or firm to a fine not to exceed
_'g0.00 or bs;;imprisonment in the county jail for a period not to exceed sixty
days, or both.
2 � �
gig (30 : Dct;e
�'®°ODE SOURCE OF INCOME STATEMENT
Disclosure for Tax Year Ending Las me , First Name Middle Name/initial
r�v� —(�?Q%,.t✓\, tip`
Mailing Address—Street Number,Street Name,or .0.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
r�Z- 114 7'
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.❑
A Name of Source of Income` Address Description of the Principal Business Activity
N`�hu/t�Ck,�e `.�q �� �oAVA K CSR
M--4-+'wl k3313°l
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT.
❑Hardcopy
Electronic Copy
Sig tore o erson disclao--
Print name Date signed
OFFICE USE ONLY Accepted: Y/ N Deliciencw Processed Date/IritiuIs: Scarred Date/Initials:
133-SP-1-1 2/13