Alan Randolph 12/31/2016-
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City of Miami Beach, 1700 Convention Center Drive,Miami Beach' Florida 33/39'
OFFICE op THE CITY CLERK, Rafael Gmno6o City Clerk
Tel: (305)6r3-74ll' Fax: (3O5)6r3-7254
O2-14-2O14
Alan Randolph
1800 Cleveland Road
Miami Beach, Florida 33141
500 Miami Beach Cultural Arts Council
Congratulations! You have been appointed by the City Commission to the agency,
board or committee named above for a bann ending: 12/31/2016.
Pursuant to Ordinance No. 2008-3543' commencing with terms beginning on or after
January 1, 2007' the term of board members who are directly appointed by o nlember.of
the City Commission shall automatically expire on December 31 of the year the
appointing elected official leaves.
If you are unable to 000ect this appointment or have any questions, please oo|| the City
Clerk's Office at 305-673-7411. Please read the enclosed materials carefully.
Congratulations again and good luck.
Sincerely,
Rafael E. Granodo
City Clerk
cc: Saul Frances, Parking Director
Gary Farmer
ATTACHMENTS:
Letter ofAppointment
uu".
City Code/Ordinance section applicable to agency, board or committee
City Code Section 2-22. 2-23, 2-24, 2-25, 2-20, 2-458 and 2-450
Ordinance No. 2008'3543-Amendmontbo 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[>ffioana and Employee
We are committed to providing excellent public service and safety to all who live, work and play m our vibrant, tropical, historic community.
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MIAMIBEACH
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
TO: Alan Randolph
RE: Miami Beach Cultural Arts Council
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: 12/31/2016.
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 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
have served.
Al- 1 C_�6
a-,/_
Alan Randolph
Sworn to and subscribed before me this day of 2014
�u_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 committed to providing excellent public service and safety to all who live, work and Play in our vibrant,tropical,historic community.
VVe,are cOnlmdred Io providin,Q excellent pubftc service and safely to all vdio five, work,ana p,ay in Our vibianl, rroprca,historic communfly.
MIAAAICITY OF MlANII BEACH
BOARDS AI`3D COMMITTEE APPIiCATION FORM
l
NAME: (� Ca c 0/o h kz 6
Ldst Name Q First Name Middle Initial
HOME ADDRESS: U � •�I �'I
No. Street 16111/1 State Zip Code
7 r PHONE: — to . -- e Y� e'lLl/,0� t I
Home Work Fax mail address 0
Business Name:
Position:
s V P
P•sit•n
Address: D� 3 2— �Ct't�l i. ��• �'�J�1'�t,1 � �31
No. Street City State Zip Code
Professional License(describe) Expires: AUach a copy of the license
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:Yes[�r No ❑
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months:Ye S,*r No ❑
•Are you a registered voter in Miami Beach:Yespr No 11
• (Please check one): I am now a resident of: North Beach) outh Beach❑Middle Beach❑
• I am applying for an appointment because I have special abilities,knowledge,experience. Please list below:
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) .
0 Art in Public Places Committee 0 Housing Authority'
❑Beach Preservation Board 0 Loan Review Committee"
0 Beautification Committee 0 Mayor's Green Ad-Hoc Committee
0 Board of Adjustment* ❑Marine Authority"
❑Budget Advisory Committee )&Miami Beach Cultural Arts Council
0 Committee on Homeless ❑Miami Beach Commission on Status of Women
0 Committee for Quality Education in MB ❑Miami Beach Florida Sister Cities
0 Community Development Advisory" O Normandy Shores Local Gov't Neigh. Improvement
❑Community Relations Board 0 Oversight Committee for General Obligation Bond
0 Convention Center Advisory Board 0 Parks and Recreation Facilities Board
❑Debarment Committee ❑Personnel'Board"
❑Design Review Board` 0 Planning Board"
❑Disability Access Committee 0 Police Citizens Relations Committee
0 Fine Arts Board 0 Production Industry Council
0 Golf Advisory Committee ❑Public Safety Advisory Committee
❑Health Advisory Committee 0 Safety Committee
❑Health Facilities Authority Board 0 Transportation and Parking Committee
0 Hispanic Affairs Committee ❑Visitor and Convention Authority"
0 Historic Preservation Board* 0 Youth Center Advisory Board
*Board Required to File State Disclosure form
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C-.0ocumenls and SeltingslcompurbmlLocal Settings\Temporary Internet Files\OLKlC5\BC Application Revised July'18 2007.doc
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:Yes❑No❑ Years of Service:
2. Present participation in Youth Center activities by your children Yes❑ No❑. If yes, please list the names of your children, their
ages,and which programs. List below:
Child's name: Age: Program:
Child's name: Age: Program:
*Have you ever been convicted of a felony:Yes 0 or No� yes, please explain in detail:
• Do you currently have a violation(s)of City of Miami Beach codes:Yes❑or No V 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 any City Boards or Committees:Yes❑or No 1 .�If yes;which board?
•What organizations in the City of Miami Beach do you currently hold membership in?
Name: c2.L'L_ ,Y� - -� Title:
Name: Title: rf-�–�-
• List all properties owned or have an interest in,which are located within the City of Miami Beach:
• I am now employed by t e City of Miami Beach:Yes❑or NdC.Which department?
• Pursuant to City Code Section 2-25(b):Do you have a parent 0,spouse 0,child❑,brother 0,or sister 0 who is employed by the
City of Miami Beach?Check all that apply.Identify the department(s): , I/ q
This section is"not required"but desired:Age: 1 6 years old Gender: Male* Female 0
Ethnic Origin(Check one)
White-4frican-American/Black❑Hispanic:❑Asian or Pacific Islander❑American Indian or Alaskan Native❑
Employment Status: EmployedX Retired❑Home-maker❑Other❑
"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."
M/h
1 ,
Applicant's Signature bate Name of Applica t(PLEASE PRINT)
Please attach a copy of your resume to this application
NOTE:Applications will remain on file for a period of one(1)calendar year.
Received in City lerk's Office b Date
tY Y
Name of Deputy Clerk
Document Control Number(Assigned by the City Clerk's Office) Entered By Date
Revised 1125f07jo
2
CADocuments and SettingslcompurbmlLocal Settings\Temporary Internet Files\OLK1C5113C Application Revised July'I8 2007.doc
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'yY
Alan G. Randolph
Senior Vice President
South Florida Market Manager
CI Bank
c: 305-613-2605
alan.randolph(a,cl bank.com
alangrandolph @gmail.com
A banker in South Florida for more than 23 years, Alan G. Randolph works for C 1 Bank as the
South Florida Market Manager focused on the expansion and growth of C 1 Bank. Total assets
exceeded $1.3 billion dollars as of December 31 st, 2013 with 26 offices located in the Tampa
Bay/St. Petersburg, Sarasota and Fort Myers markets. C 1 Bank's plan is to open 4 new offices by
the end of 2014 with its first office located in the Wynwood/Midtown/Design District area,
opening January 22, 2014. Alan is one of the city's leading social figures, and currently serves
on a number of boards and committees, including those of the Bass Museum of Art, Miami
Beach Chamber of Commerce, Humane Society of Greater Miami, Mount Sinai Medical Center
Foundation and Big Brothers, Big Sisters. He is a pet advocate and has a passion for aviation.
""®°MADE SOURCE OF INCOME STATEMENT
Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial
AoJ5 PandvZ4 A4 can G�
Mailing Address treetNumber,S eet Nam or P.O.B x
J n MAk�-'l
City,State,Zip
ID Number
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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
I
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
Print name D6 sig ed
OFFICE USE ONLY Accepted: Y / M Deficiency: Processed Date/initials: Scanned Date/Initials:
138 SP-14 2/13
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