Daniel D. Nixon 12/31/2015 V
City of Miami Beach, 1700 Convention Center Drive,'Miami Beach, Florida 33139,
OFFICE[F THE CITY CLERK, Rafael Granada, City Clerk
Tel: (305)b73-74ll' Fax: (3OJ)673-/254
O2-14-2O14
Dr. Daniel Nixon
4846N. Bay Road
Miami Beach, Florida 33140
��QBJECT�M Health Advisory Committee
'
Congratulations! You have been appointed b«the City Commission bnthe agency,
board Or committee named above for 8 term ending: 12/31/2015.
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 [>eoonnber31 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 ot3O5-673-7411. Please read the enclosed materials carefully.
Congratulations again and good luck.
8incmms|y'
Refoe| E. Gnsnedo
City Clerk
cc: Saul Frances, Parking Director
Sonia Bridges
ATTACHMENTS:
Letter ofAppointment
Oath
City Code/Ordinance section applicable to oQoncK board or committee
City Code Section 2-22, 2'23, 2-24, 2-25' 2-20. 2-458 and 2-45Q
Ordinance No. 2000-3543 -Amondmentto City Code Section 2-22
Miami-Dade County Code Section 2-11.1 -Conflict of Interest and Code ofEthics Ordinance
City Wide Permit Application '(Parking Department Form)
Booklet-Guide bothe Sunshine Amendment and Coda of Ethics for Public Officers and Employee
We ore committed to providing excellent public service and safety ma//who live, work and play m our vibrant, tropical, historic community.
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www rniamibeachfl.gov
OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk
Tel:(305)673-7411,Fax:(305)673-7254
TO: Dr. Daniel Nixon
RE: Health Advisory Committee
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.
I 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 Offl'cersandunderstand 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.
_f
Dr. Dani Nixon
Sworn to and subscribed before me this day of = , 2014
9
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 Flom_mitt od�to �oiding.�cellenY01iuervice and�safgty to a�lw oo��l ve'NwQ a a d�alar��n our vibrant,�ft aPi;srlo�histo n c community.
P a P �Y 1 > r
MIAMI-DADE SOURCE OF INCOME STATEMENT
ve I'M
Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial
3
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 ,
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
Q A
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
Signature 6f person disclosing
Z
Print name Date signe
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials: Scanned Date/Initials:
138-SP-14- 2/13