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Ray Breslin 12/31/2015 (2) N 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 01-22-2014 Ray Breslin 2395 Lake Pancoast Dr. #4 Miami Beach, Florida 33140 Transportation and Parking Committee Congratulations! You have been appointed by Commissioner Joy Malakoff to the agency, board or committee named above for a term ending: 1213112015. 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, fael E. Granado City Clerk cc: Saul Frances, Parking Director Saul Frances 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 j 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: Ray Breslin RE: Transportation and Parking Committee 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. 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 Ofcersandunderstand 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. Ray B eslin Sworn to and subscribed before me this day of L/ , 2014 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 gmmitted to providing xcellenf,�publi �ervice and,saf,,�ety to af/1Nh live work apd,play in our vibrant tr pi,,cal historic community. e crre cornm.ilted to proy; irg+_�xc��l,' rt pL''fIC 2Nj B cnd saloiy to c�i!wf�ogve, work.,and play in our vit�rrani, *raN�ical,. historic comrrunrly. NA I &VA I B EAC H BOARD AND COMMITTEE APPLICATION FORM kja L-i-T\� 12� Last_Name rst Name Middle Initial LJ91-�15 Pft� ODM DR, - t�V M 1 9) 8007:A FL U 1W J_ - 0 - Home Address City State J Zip Code H sphens V e ep Cellular Telepho E� Email address AARL Business ame ccupation D=Xy J 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 1Z or No Zt • Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: Yes 0 or No • Are you a registered voter in Miami Beach: Yes 0 or No Ql • I am now a resident of: North Beach ZI South Beach l Middle Beach • I am applying for an a pointment because I haves ecial ab'litie , knowledge and x rience. Please list below: ca.1 1, • Are you presently a registered lobbyist with the City of Miami Beach Yes or No . C� 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. ❑Affordable Housing Advisory Committee ❑Fine Arts Board ❑Normandy Shores Local Government Neighborhood Improvement ❑Art in Public Places Committee ❑Disability Access Committee ❑Parks and Recreation Facilities Board ❑Beautification Committee ❑Gay, Lesbian, Bisexual and Transgender ❑Personnel Board '`.. Enhancement Committee GLBT ❑Bic cle-Pedestrian Advisory Committee ❑Golf Advisory Committee ❑Planning Board ❑Board of Adjustment* ❑Health Advisory Committee ❑Police Citizens Relations Committee ❑Budget Advisory Committee ❑Health Facilities Authority Board ❑Production Industry Council ❑Capital Improvements Projects ❑Hispanic Affairs Committee ❑Safety Committee Oversight Committee ❑Committee on the Homeless ❑Historic Preservation Board ❑Single Family Residential Review Panel ❑Committee for Quality Education in MB ❑Housing Authority ❑Sustainability Committee ❑Community Development Advisory ❑Loan Review Committee ❑Tennis Advisory Committee ❑Community Relations Board ❑Marine Authority Transportation and Parking Committee ❑Convention Center Advisory Board ❑Miami Beach Commission for Women ❑Visitor and Convention Authority ❑ Debarment Committee Miami Beach Cultural Arts Council ❑Youth Center Advisory Board °O ❑Design Review Board* ❑Miami Beach Human Rights Committee ❑Waterfront Protection Committee ❑Miami Beach Sister Cities Program JI 0 j i1 I/F SS :6 WV 7,- 130110Z Page 1 of 4 °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 LJ No LJ Dates of Service:, 2. Present participation in Youth Center activities by your children:Yes ZIJ No U 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 Il or NoZJf yes, please explain in detail: • Do you currently owe the City of Miami Beach any money?Yes U or NoAlf yes, explain in detail: •Are you currently servin o any 'ty Trd r Co ittee Ye for No ED f yes, hich b and/com ittee? V IS jo • In what organization(s) in the City of Miami Beach do you currently hold membership? CC I tq]oiaLft aji o - Name Position Name Position • List all properties own d or in which you have an interest within the ity of Miami Bea h: [R_WC;ftJ__ ZIL 1�!y •Are you now employed by the City of Miami Beach?Yes Ca or No Which department and title? • Pursuant to City Code Section 2-25 (b): Do you have a parent !�9, spouse !, child brother or sister 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? ID African-American/Black [Acaucasian/White Asian or Pacific Islander ul Native-American/American Indian Other—Print Race: Page 2 of 4 Do you consider yourself to be Spanish, Hispanic or Latino/a?Mark the "No"box if not Spanish, Hispanic, Latino/a. A-No 4�-J1 Yes Do you consider yourself Physically Disabled? �6m �I 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 Tor 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 ST ES ACCORDI GLY." r App cant's gnature Datj Name? pplican (PLEASE PRINT) D Received in the City Clerk's Office by : 0 6' Z 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 1 Ray E. Breslin 2395 Lake Pancoast Drive Miami Beach, FL 33140 P-305 772-5665, e-mail Bresaro@aol.com Resume' Born: February 11, 1947 in Binghamton, New York. Lived there until 1965 Education: BS in Mechanical Engineering, Rochester Institute of Technology, 1970. Lived in Rochester, New York from 1965 until 1998 Employment: Xerox Corporation 1967-1977, Quality Control, Supervision, Field Engineering Town Crier Real Estate 1976-1980, Broker and top producing sales agent Home Seller's Center 1980-1982,Avant-garde flat fee real estate sales using video Sentry Color Labs 1982-1998, Commercial photo finisher sales & production mgr. DePrez Group of Travel Companies 1990- 2004, Outside sales (travel agent) In 1998, 1 relocated to Miami Beach to open Bresaro Suites at the Mantell Plaza with my life partner, Patrick Pecoraro specializing in daily, weekly and monthly rentals. www.bresaro.com I looked at the move to Miami Beach as a transition to retirement. What I now realize is it was just a transition in life. I got the opportunity to look at our community and see how I could make a difference in the quality life, not just for us, but for the lives of the people around us. I feel I've made a difference and am well respected within the community. I have been a member of the Collins Park Neighborhood Association since 2003 and president since 2007. www.collinspark.us The thing I like most about myself is that when I start something, I will work tirelessly to complete it. I am an excellent problem solver and am most frustrated by the amount of time it takes to get things done. The thing I like least about myself is that I can be a procrastinator in starting a project because I know how I'll be once I start. I am honest, trustworthy and a good team player. If I feel something is wrong, I'll say so. I will also say how I think it can be fixed. I have completed the City of Miami Beach's Leadership Academy, The C.E.R.T. program, and the Citizen's Police Academy. I am currently signed up for the advance Police Academy course to begin in November, 2013. Reference upon request. _ �_ _ 1.,- ,_, ^-. . . - I . . . ­�-, , _:I..." -,, ,," .,-, .-- . . I.- i. .. --- - •. _ - _ - 1- -r�A�'�. I , - '��,. ...� . �& ,;- ..�.. ..�l. , I_. , I . . - ; - , . .. T . �_ _ - i - S .. - y. _ _ _ _ -a'- _1. _- _ .. _ r . , •� - - - - -' - - r = 1 - - - _ .. - _ __ 1 - ., - d - - .. r - r .1'1. - ' _^ - J _ , � t . %_ _ - . - .. v' i�' - - - _ .. .. _ �. - _ - __ _ l _ . ' ?. .. .G _.. - : . .. - _ - - _. - - . '•' - - - l F- a__ _ - .(- - ... _ - - - _ -- .. � . - - - - J - - ` - - , - - r � - _ _ - _ .. .�.- - - _ - - - r I, - - _ - 'I ; . _ .. _ - _ -1. c rz r f _ - - . - Le - - - ... _ E � _ '�f x - t tl{ jlr I Y - —-' - - -Z _. . � . �,N., , - - 1 17 - i-:. - - r � - _ _ - ` j -i-'.- .� - - - -- 1 r-- �, _ ! - . - - _ -- - - ' _ - - -_-- - - 1� - - . _ - _- ., - - _ _ - .. �- _ - _ _ .. _ � -� '- - _ _ _ r _ _ - - - ' - * 5 ' - ` i, r t _ _ - _ -, i. 3 a - _ , I `` • s. r . , - I. - . _ � _ - _ - l - _ 1 _ � . .. - _ _ - •.1- - _ - - - - - - _.,. _ - - - _ .� - - _ _ . _ Y .1 L . - _ _ "{ - • , - { - -- a .J! - 1 - - _ _.. 1 - - - - - _ - A- a }. L '•� - _ _- _ - -— - - _ 1 - ' Ray Breslin 2395 Lake Pancoast Drive Miami Beach, FL 33140 P-305 772-5665,e-mail Bresaro @aol.com Resume' Born: February 11, 1947 in Binghamton, New York. Lived there until 1965 Education: BS in Mechanical Engineering, Rochester Institute of Technology, 1970. Lived in Rochester, New York until 1998 Employment: Xerox Corporation 1967-1977, Quality Control, Supervision, Field Engineering Town Crier Real Estate 1976-1980, Broker and top producing sales agent Home Seller's Center 1980-19829 Avant-garde flat fee real estate sales using video Sentry Color Labs 1982-1998, Commercial photo finisher sales &production mgr. DePrez Group of Travel Companies 1990- 2004, Outside sales (travel agent) In 1998, I relocated to Miami Beach to open Bresaro Suites at the Mantell Plaza with partner, Patrick Pecoraro specializing in daily, weekly and monthly rentals. I looked at the move to Miami Beach as a transition to retirement. What I now realize is it was just a transition in life. I got the opportunity to look at our community and see how I could make a difference in the quality of mine and Patrick's lives and the lives of the people around us. I feel I've made a difference and am respected within the community. The thing I like most about myself is that when I start something, I will work tirelessly to complete it. I am an excellent problem solver and am most frustrated by the amount of time it takes to get things done. The thing I like least about myself is that I can be a procrastinator in starting a project because I know how I'll be once I start. I am honest, trustworthy and a good team player. If I feel something is wrong, I'll say so. I will also say how I think it can be fixed. I have completed the City of Miami Beach's Leadership Academy, The C.E.R.T. program, and the Citizen's Police Academy. References: Upon request MIAMI City of Miami Beach, 1700 Convention Center Drive, Miami Beach,Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk @miamibeachfl.gov 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 2-11 .1 (i) (2) Board Member name: / 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 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 you may have been recently appointed. You must file one of the following 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"Financial Statement (attached( or] 3. 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 $500.00 or by imprisonment in the county jail for a period not to exceed sixty days, or both. Signature: D te: I MIAMI- E SOURCE OF INCOME STATEMENT • Disclosure for Tax Year Ending Last Narge First ame Middle Name/Initial 13 Mailing 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 unicipal 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 Description of the Principal Business Activity I MAI 0 , Irma , ALOJV1 I hereby sw/(o irm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy ❑ Electronic Copy Signatur of per 0 n disclosing Print na e D e signdd OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138 SP-14 2/13