The URL can be used to link to this page

Roger Abramson 12/31/2014 MIAtv'\ lBEACH BEACH City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.aov OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk Tel:(305)673-7411,Fax:(305)673-7254 1/22/2014 Roger Abramson 6450 Collins Ave. #202 Miami Beach, Florida 33141 raitiEdtP Convention Center Advisory Board Congratulations! You have been reappointed by Commissioner Joy Malakoff to the above referenced agency, board or committee for a term ending: 12/31/201/ 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, • Rafa I E. ranado City Clerk cc: Saul Frances, Parking Director Lenny Timor 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 Granado,City Clerk Tel:(305)673-7411,Fax:(305)673-7254 TO: Roger Abramson RE: Convention Center Advisory Board 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 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 n which have served. Roger Abramson`` Sworn to and subscribed before me this, 01 yday of /¢N'� , 2014 Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfi.gov under City Clerk/Board and Committees for additional information regarding the Financial Disclosure Requirements. we are '81 �fl 'l�i��r i�X2�R i bill' � '�nt Qo��l�?i 8 fly n kY1 09kk� b��P',P%,jr2'cPi%ro!"SWup runiry. M.IA/Ml BE/ CH B C) R'D AND C0PNII;Y,1 TT EE A P P i_.,CATION F 0 R!NAl Last Name First Name. Middle Initial Home Address City State Zip Code Home Telephone Work Telephone Cellular Telephone A Email address L p a05-' "o--&dal Business Name T 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 Zor No • Demonstrates ownership/interest in a business in ' ml Beach for a minimum of six months: Yes�or No El • Are you a registered voter in Miami Beach: Yes • I am now a resident of: North Beach Z South Beach [_Z� Middle Beach ZI • I am applying for an ap oirftment because I have speci I abilities, know edge and xperience. Please list below: e ls�I i • Are you presently a registered lobbyist with the City of Miami Beach? Yes or No Please list our preferences r y p es in order o� ranking [1] first choice [2] second choice, and [3] third choice. Please note that oniv three 3 choices will be observed by the City Clerk's Office. ❑Ad Hoc Charter Review and Revision Board 10 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 Nei hborhood 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 Advisory Committee ❑Health Advisory Committee ❑Police Citizens Relations Committee ❑Board of Adjustment* ❑Health Facilities Authority Board ❑Production Indust Council F101 Bud et Advisory Committee ❑Hispanic Affairs Committee ❑Safet Committee Capital Improvements Projects Oversight ❑Historic Preservation Board ❑Single Family Residential Review Panel Committee Committee on the Homeless ❑Housin Authorit ❑Sustainabilit Committee Committee for Qualit Education in MB ❑Loan Review Committee ❑Tennis Adviso 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 Pagel of 4 F:\CLERISALL!aFORMSIBOARD AND COMMITTEESIBC APPLICATION 46 BOARDS 12-16-2013.doc oO 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 No 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 or No If yes, please explain in detail: • Do you currently have a violation(s)of City of Miami Beach Code?Yes ZI or No yes, please explain in detail: • Do you currently owe the City of Miami Beach any money?Yes or No If yes, explain in detail: • Are you currently serving on a y City Board or Co ittee?Yes&— or No�If ZCn:aVZP -which boar ommittee? p� _ • In what organization(s)in the City of Miami Beach do you currently hold me ership? Name Position Name Position • 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�or No ZOO" Which department and title? • Pursuant to City Code Section 2-25 (b):'Do you have a parent , spouse , child brother IZI or sister E-:] 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? ED rican-American/Black :EcaucasianNVhite - Asian or Pacific Islander 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 ,r Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No"box if not Spanish, Hispanic, Latino/a. o es Do you consider yourself Physically Disabled? 5-- No 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' z4,( e4 tY.CdAL.1_ Applicant's Signature Date acne 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 COMMITTEE&..BC APPLICATION 46 BOARDS 12-16-2013.doc i NAIAMIBEACH 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: 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.pd 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. d 2d/ Signature Vate Updated: Monday,December 16,2013 Page 4 of 4 F:\CLER\$ALL\@FORMS\BOARD AND COMMITTEES\BC APPLICATION 46 BOARDS 12-16-2013.doc M'®°�'DE SOURCE OF INCOME STATEMENT Disclosure for Tax Year Ending Last Ngmq First Nam Middle Name/Initial �Mailing Address 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 VM unicipal Board Member, Name of Municipality: Board where serving lol;- (� 14.� 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 w I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT. ❑Hardcopy ❑ Electronic Copy Signature of person disclosing 2�- Print narT4 Date signed OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 133 SP-14 2/13 N'd AA€�I B EACH City of Miami Beech, 1700 Convention Center Drive, Miami Beach,Florida 33139, .v,�,v.mianibeachA.cov C17Y CLERK OFFice Ci'/Clerk@micmibeachfl.gov Tel:305.673.7d.1 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 name: understand That no later Than JULY i OF EACH YEAR all members ol'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. This means thatthe members of City Advisory Boards, whose sole or primary responsibility is to recommend legislation cr give advice to the City Commission, must file,even though you may have been recently appointed. You must file one of the follol,ving with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, by July 1, 2010. 1. A`'Source of Income Statement(attached) or 2. A"f=inancial Statement(attached( or] 3. A Copy of the person's current Federal Income Tax Retum 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 5500.00 or by imprisonment in the county jail for a period not to exceed sixty days, or both. Signature: Date: