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Jared Galbut 12/31/15 MIAMIBEACH 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 03-11-2014 Jared Galbut 201 Acqua Avenue #1004 Miami Beach, Florida 33141 E � Convention Center Advisory Board Congratulations! You have been appointed by Commissioner Deede Weithorn 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 office. 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, Ra ael E. Granado City Clerk cc: Saul Frances, Parking Director Max Sklar 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. 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 Jared Galbut RE: Convention Center Advisory Board 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. 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. Jared Galbut / � G Sworn to and subscribed before me this N7 7 , day o Al � ? 2014. R F Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfl.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. CITY OF MIAMI BEACH NAIAMIBEACH -� BOARD AND COMMITTEE APPLICATION FORM NAME: Galbut Jared E Last Name First Name Middle Initial HOME ADDRESS: 201 Aqua Avenue#1004 Miami Beach FL 33141 Apt No. Home No./Street City State Zip Code PHONE: 3057990779 3057994647 jgalbut @meninhotels.com Home Work Fax Email Address Business Name: Menin Hospitality Position: Managing Principal Address: 3050 Biscayne Blvd.PHI Miami Beach FL 33137 Street City Sta e C U 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 • 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: Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I have extensive knowledge into the Hospitality Industry,with a focus on Hotels and Convention Services. •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(31 choices will be observed by the City Clerk's Office. (Regular Boards of City) Choice 1: Convention Center Advisory Board Choice 2: Visitor and Convention Authority Choice 3: Planning Board* 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: No If yes,which board? •What organizations in the City of iami Beach do yo currently hold embership 04• 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? • OF MIAMI BEACH M- CITY IAMI Bt � - BOARD AN D COMMITTEE APPLICATION FORM NAME: Galbut Jared E Last Name First Name Middle Initial HOME ADDRESS: 201 Aqua Avenue#1004 Miami Beach FL 33141 Apt No. Home No./Street City State Zip Code PHONE: 3057990779 3057994647 jgalbut @meninhotels.com Home Work Fax Email Address Business Name: Menin Hospitality Position: Managing Principal Address: 3050 Biscayne Blvd.PHI Miami Beach FL 33137 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 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: Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I have extensive knowledge into the Hospitality Industry,with a focus on Hotels and Convention Services. •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(31 choices will be observed by the City Clerk's Office.(Regular Boards of City) Choice 1: Convention Center Advisory Board Choice 2: Visitor and Convention Authority Choice 3: Planning Board* 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: 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 am now employed by the city of Miami Beach: No Which department? The following information is voluntary and is neittjjWrt of your application nor has any bearing on your ideration for appointment. It Is being asked to comply with federal equal opport eporting requirements. ._ Gender: Male 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." 1 Jared Galbut agreed to the following terms on 11/27/2013 11:56:26 AM Received in the City Clerk's Office by: ��b 1Z� /) Name of Deputy Clerk Control No. Date i Jared Galbut 3050 Biscayne Boulevard PHI,Miami,Florida 33137. Email .jgalbut @meninhotels.com Managing Principal Dynamic,results-oriented leader with a strong track record of performance in the high-paced hospitality industry with over 10 years of experience. PROFESSIONAL EXPERIENCE MENIN HOSPITALITY 2011-PRESENT Managing Principal Co-Founder and Principal responsible for overseeing the entire company's operations and management including all hotels (900 Rooms), 400 employees, food and beverage outlets and nightlife across the United States. CRESCENT HEIGHTS OF AMERICA 2003-2011 General Manager—Raffaello Hotel,Chicago,Illinois 2009 -2011 Provide strategic direction and daily operations management for a downtown Chicago hotel generating $8 million in annual revenues. Responsible for the smooth and seamless operation of the entire hotel operation to assure 100% guest satisfaction and comfort. Responsible for the overall profitable management of the property Prepare annual plans, budgets, operations forecasts; prepares regular & special reports to ownership; Supervised a staff of 50+members. Hotel Manager—Raffaello Hotel,Chicago, Illinois 2004—2009 ORGANIZATIONS President,Miami Beach Taxpayers Association 2010-Now Member of the Miami Beach Chamber of Commerce Member of the Greater Miami and the Beaches Hotel Association EDUCATION Bachelor of Arts in Accounting,University of Miami 2004 CONTINUING EDUCATION Certificate in Hotel Real Estate Investments and Asset Management, Cornell University 2013-2014 (In Process) TECHNICAL EXPERIENCE Proficient in all Microsoft Windows including Server Versions,Microsoft Office all versions,Micros Opera, Delphi, Crystal Reports,RDP PMS,HotSOS. it AMPr.+C" as 8 a Y 4 M AMMADE SOURCE OF INCOME STATEMENT Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial 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 16M unicipa! Board Member, Name of Mlunicipality, 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 3o5o 91 s(fal Ic 91,vel, 19#1 # (57'6 v10-4 p five) I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑Hardcopy ❑ Electronic Copy ignat re of person disclosing r5--e "' p 3 IIVII�l Print name Da sign OFFICE USE ONLY Accepted: Y / N Deficiency: °rocessed Date!lnitia!s: Scanned Date/Initials: 138-SP-1A 2/13 MIA/\A1BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach,Florida 33139, www.miamibeachfl.aov CITY CLERK Office CityClerk @miamibeachfl.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: Z/ 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 thatthe members of City Advisory Boards, whose sole or primary responsibility is to recommend legislation orgive advice to the City Commission, must file,even though you may have been n appointed. recently a pp• n�cd. 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] I 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. Sig atu e: ate: