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Adrian Gonzalez 12/31/2015 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 02-19-2014 Adrian Gonzalez 1401 Bay Road #208 Miami Beach, Florida 33139 SUBJECT.__Y_ Visitor and Convention Authority Congratulations! You have been appointed by the City Commission to the agency, board or committee named above for a 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 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 Grisette Roque 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. /\\AIAMIBEACH 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 TO: Adrian Gonzalez RE: Visitor and Convention Authority 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 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 Officers an erstand that as a member of a City of Miami Beach Board and/or Committee, I mu omply w h the financial disclosure* requirements of Miami-Dade County or the Sta of Florida (d pending on the board or committee on which I serve) on July 1 st, follo g the closing of t calendar year on which have served. Adrian Gonzalez S �Sworn to and subscribed before me this day of , 2014 it a 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 wlnmitted to.providin�q e�ccellent�ublic$ervice and$afPrt�r to a„wro.live, work and play in our,vibrant,tro�iCa/ historic community. e are comm,fed!o pr yr rng exce enr cubic service and sore y to 5 vr.�o I,ve, 1NOr,0110 p,oy,r,our vrbrClnl, trop;c nlstorrc communuy. MIAMI- SOURCE OF INCOME STATEMENT � Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial 30 9d3� Mailing Address—Street Number,Street Name,or P.O.Box City,State,Zip ID Number 33 d 3 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 I Filing as a Board Member r] County Board Member Municipal Board Member,Name of Municipality: �� Mt R i Board where serving ("� 0q, (zd Work address ^ Work telephone Term began on fte Mj)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.F Name of Source of Income Address Description of the Principal Business Activity jV 1 .'S �l /OS� cp l l� Act IMB,�.33 d3I �hn OL'V en I (�� I hereby swear(or of' the information ve is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT. 0 Hardcopy Electronic Copy Signature of person disclosing �^ 2 _ 2 / Print name Dat signed I� 1 I OFFICE USE ONLY Accepted. Y/ N Deficiency;_.____._.__ Processed Date/Initials: Scanned Date/Initials: 138 SP-14 2/13