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Susan Schemer 12/31/2016 i City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Rafael Granada, City Clerk Tel: (305)673-7411, Fax: (305)673-7254 02-14-2014 Susan Schemer 4530 N. Michigan Avenue Miami Beach, Florida 33140 SUBJECT: Miami Beach Cultural Arts Council Congratulations! You have been appointed by the City Commission to the agency, board or committee named above for a term ending: 12/31/2016. 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. 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, Rafael E. Granado City Clerk cc: Saul Frances, Parking Director Gary Farmer 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. 0 MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Rafael Granada, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 TO Susan W. Schemer RE: Miami Beach Cultural Arts Council 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: 12/31/2016. 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 Amend- ment and Code of Ethics for Public Officers and Employees, 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, following the closing of the calendar year on which I have served. Susan W. Schemer Sworn to and subscribed before me this l day of ,:c,.d ' 2 a Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.mi2mibe2chfl.gov under City Clerk/Board and Comm for additional information regarding the Financial Disclosure Requirement We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. ID' MIAMI BEACH CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM NAME: Schermer susan W Last Name First Name *0 *► mot. Middle Initial HOME ADDRESS: 4530 N Michigan Ave Miami Beach FL 33140 Apt No. Home No./Street City State Zip Code PHONE. 3055887234 swschermer @gmail.com Home Work Fax Email Address Business Name: LIVING THINGS Position: Address: 4530 N Michigan Ave Miami Beach FL 33140 Street City State Zip Code Pursuant to City Code section 2-22(4)a and 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. • Resident of Miami Beach for a minimum of six(6)months No • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months: No •Are you a registered voter in Miami Beach: No • (Please circle one): I am now a resident of: • 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? No 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.(Regular Boards of City) Choice 1: Community Relations Board Choice 2: Art in Public Places Committee Choice 3: Miami Beach Cultural Arts Council Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: No Years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children,their ages, and which programs. List below: • Have you ever been convicted of a felony: No If yes, please explain in detail: no • Do you currently have a violation(s)of City of Miami Beach codes: No If yes, please explain in detail: • Do you currently owe the City of Money Beach any money: No If yes, please explain in detail: •Are you currently serving on any City Boards or Committees: No If yes, which board? •What organizations in the City of Miami Beach do you currently hold membership in? • List all properties owned or have an interest in,which are located within the City of Miami Beach: i I Property ' �1 Miami Beach Gj • I am now employed by the city of Miami Beach: No Which department? 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 federal equal opportunity reporting requirements. Gender: Female Race/Ethnic Categories What is your race?Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/Latino? Mark the"No" box if not Spanish/Hispanic/Latino. No Physically Challenged: No NOTE: If appointed,you will be required to follow certain laws which apply to city board/committee members. These laws include,but are not limited to,the following: • 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 board/committee you have served on for period of one year after leaving office(Miami Beach Code section 2-26). • Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1). (re: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). 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 have received,read and will abide by Chapter 2,Article VII—of the City Code"Standards of Conduct for City Officers,Employees and Agency Members." I susan Schermer agreed to the following terms o 1/5/2014 :44:01 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date 4530 N. Michigan Ave. Miami Beach, FL 33140 livin thins .the-beach.net 305 538-1772 ► i •f 'R RESUME Age: 75 Current employment: Retired Education: Miami Beach High School Class of 56 Bachelor of Education from U of Miami, 1960 Masters Degree in Education from U of Miami 1974 Owner: Living Things at 456-41St Street 1974 Retired 2009 Own home, married, children grown, one grandchild Own car, excellent driving record Job History: After graduating college I opened my own flower shop on Miami Beach, Living Things, 456-41St Street. I retired after 35 years in business. In that position I was designer, buyer, computer operator, sales-person, event- coordinator, filing clerk and chief cook and bottle-washer. I did everything except the financials which were handled by my husband. Eventually we ran the shop with 4 employees. It is now being operated by my husband. After so many years I needed to move on. Special skills: i Computer savvy. I can navigate the internet, use Microsoft Word, Outlook, and Quickbooks. I have skills in Photoshop and can do some graphic design. My hobby for 35 years has been photography and my work can be seen at www.susanschermer.com. I can set up travel itineraries, organize events, shop finding the best deals, and am especially skilled at visual design. In the 1980's I organized and developed along with the 41St Street Merchant's Association, "Art in the Heart of Miami Beach" which closed off Arthur Godfrey Road for 3 years running. After that I was instrumental in creating "Trick or Treat Street" for family fun on Halloween, which has since morphed into Lincoln Road's event. Currently I live at 4530 N Michigan Avenue with my husband, Mickey Schermer. We are both in excellent health and totally committed to the city we intend to spend the rest of our life in. MI®°iADE SOURCE OF INCOME STATEMENT Disclosure for Tax Year Ending Last Name First N e Middle Name/Initial �1 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 Municipal Board Member, Name of Municipality: Board where serving CV 1-+-VCCA, r1�1 mn'1 t Tjre�- 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 h(�c(,,v AAP—- Vr u -Ij Soffit � 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 If- kg� Print name Date signed OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials: Scanned Date/Initials: 133 SP-14 2/13