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Jonathan Belofof 05/02/2014 L City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamlbeachfl.gov OFFICE OF THE CITY CLERK, Rafael Granada, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 1/8/2014 Jonathan Beloff 6525 Allison Rd Miami Beach, Florida 33141 UBJECT. Ad Hoc Charter Review and Revision Board Congratulations! You have been/Pf pointed by Commissioner Joy Malakoff to the above referenced agency, board oy committee for a term ending: 52014. 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. anado City Clerk cc: Saul Frances, Parking Director Rafael Granado 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.miamibeachfi.gov OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk Tel:(305)673-7411,Fax:(305)673-7254 TO: Jonathan Beloff RE: Ad Hoc Charter Review and Revision 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: 12/31/2014. 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 Amendment and Code of Ethics for Public Officers andunderstand 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. Jonathan Beloff Sworn to and subscribed before me this day of 2014 Liliam Ha eld 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 committed to providing xce/lentt publi service and safe�ty toa1 vVyyhQ live, w rk a d play in our vibrant,t pI'cal,historic community. �A e ire corrmdred!o providing excelient pudic service and safely to al,wiio live, worK,anc p(a•y in our viI rani, troprco.historic commun.ry. �i NA I AM I B EALDH 0 CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM NAME: BELOFF JONATHAN D Last Name First Name Middle Initial HOME ADDRESS: 6525 ALLISON ROAD Miami Beach FL 33141 Apt No. Home No./Street City State Zip Code PHONE: 305-799-1102 305-673-1101 305-673-5505 JDB@BELOFFPARKER.COM Home Work Fax Email Address Business Name: BELOFF PARKER JACOBS,PLC Positlon: PARTNER Address: 1691 MICHIGAN AVE,STE 320 Miami Beach FL 33139 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 ownershiptinterest for a minimum of six months in a business established in the city. • Resident of Miami Beach for a minimum of six(6)months Yes • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months: Yes •Are you a registered voter in Miami Beach: Yes •(Please circle one): I am now a resident of: North Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: i HAVE BEEN A RESIDENT OF MIAMI BEACH AND HAVE BEEN ENGAGED IN THE PRACTICE OF REAL ESTATE AND TRANSAC •Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking[11 first choice[2]second choice,and[3]third choice.Please note that only three(3) choice$will be observed by the City Clerk's Office.(Regular Boards of City) Choice 1: Planning Board* Choice 2: Board of Adjustment` Choice 3: Marine Authority 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: •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: Yes If yes,which board? I AM CURRENTLY VICE-CHAIRMAN OF THE PLANNING 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 am now employed by the city of Miami Beach: No Which department? 81 BIOGRAPHY JONATHAN D. BELOFF PERSONAL: Born: October 7, 1949 in Meriden,Connecticut. Graduate of New Rochelle High School, New Rochelle,New York. Married to Marisue BOWS Children: Jessica Rhodes(age 31)and Zachary(age 26) EDUCATION: C.W.Post College,B.A., 1971;University of Miami School of Law,J.D., 1974 LAW PRACTICE: Partner,Beloff Parker,PLC,2010 to Date Owner/President,Jonathan D.Beloff P.A.,2007 to 2010 Partner,Beloff&Schwartz, 1999 to 2007 Partner,Ruder,McClosky,Smith,Schuster&Russell,P.A.(formerly Smith&Mandler,PA.), 1974 to 1999 AREAS OF PRACTICE: Residential and commercial real estate transactions,condominium law,banking and commercial leasing. BAR ASSOCIATION AFFILIATIONS: The Florida Bar since 1974. Member,Condominium and Planned Development Committee of the Real Property,Probate and Trust Law Section. New York Bar Association,since 1985. Dade County Bar Association. Miami Beach Bar Association(Past President). Instructor/Lecturer,University of Miami,Institute of Condominiums and Cluster Housing and Real Estate—1983. CIVIC ACTIVITIES: President,North Beach Development Corporation, 1994 to 1997. Member,Board of Governors and Pillars,Miami Beach Chamber of Commerce,1993 to 2001. Commissioner,City of Miami Beach Housing Authority, 1998 to 2002. Member and Vice Chairman,Code Enforcement Board,City of Miami Beach, 1989-1993. Vice President,Kiwanis Club of Miami Beach, 1987-1991. Vice Chairman, Chairman's Committee, Second Generation, Miami Heart Institute, 1989- 1991 Chairman,Attorney's Division of United Way Miami Beach Campaign—1988, 1989,1991. Chairman,Board of Trustees,Friends and Founders of Gusman Cultural Center-1987 to 1989. President,Allison Island Homeowner's Association- 1987 to Date. Member,City of Miami Beach Police Citizens Relations Committe,2003 to Date. Vice Chairman,City of Miami Beach Charter Review Committee,2003 to Date. Founder,Mount Sinai Hospital Founders 2006 to Date Vice-President,Mount Sinai Hospital Foundation,2010 to Date Member Mount Sinai Hospital Board of Trustees,2011 to Date Vice-Chair,Planning Board,City of Miami Beach- 1996 to 1998 and 2010 to Date. 83 MIAMI-ME SOURCE OF INCOME STATEMENT Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial 0z Q� Mailing Address—Street Number,Street Name,or P. .B& City,State,Zip ID Number ems. I' 3 3 t\A� 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 //�� *e-- Work address Work telephone Term began on I eQ I nc Sit. 3 w IU�`av"� 30 5 7 3 410 t Z 1 � 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 411t,�044rl�' VIXINC"-eA .72,-0, lgecz.,a, F- I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑Hardcopy ❑Electronic Copy si n tunt"of person disclosing Print name Date signed OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials: Scanned Date/initials: 138 SP-14 2/13 I AAIA/Ml BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beacn,Florida 33139, www.miamibeachH aov CITY CLERK Office CityClerk @miomibeachfl.gov Tel:305.673.7411 ,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. 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