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Richard Baron 12/31/2014 City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamlbeachfl.gov OFFICE OF THE CITY CLERK, Rafael Granado, City Clerk Tel: (305)673-7411, Fax: (305)673-7254 02-14-2014 Richard Baron 2526 Lake Ave. Miami Beach, Florida 33140 Board of Adjustment Congratulations! You have been appointed by the City Commission to the agency, board or committee named above for a term ending: 12/31/2014. 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, fael E. Granado City Clerk cc: Saul Frances, Parking Director Antonieta Stohl 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.miamibeachfl.gov OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk Tel:(305)673-7411,Fax:(305)673-7254 TO: Richard Baron RE: Board of Adjustment I do solemn) swear or affirm to bear true faith loyalty and allegiance to the Government of the Y � Y Y 9 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 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 have served. Richard Baron Sworn to and subscribed before me this ,` day of �� ' 2014 Silvia Pri o Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfi.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. V e are commifted!O ptovidin,Q e ceflenf public Service and safety to oil Who Live, Work,and Ploy lr,Our vibfonl, rroPiCoL, historic cornrriunily. CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM BaronRichard NAME: First Name Last Name Middle Initial FL33140 HOME ADDRESS : 2526 Lake AvenueMiami Beach Home No./StreetState Apt No.City Zip Code rb@richardbaronlaw.com 305 528 2688305 577 4626305 577 4630 PHONE : WorkEmail Address HomeFax Managing Partner Business Name: Baron Breslin & Sarmiento Position: 501 N.E. 1st Ave MiamiFL33132 Address: State CityZip Code Street Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated requirement shall be fulfilled in the following ways: a) an indi   months; or b) an individual shall demonstrate ownership/interest Yes No Yes South Beach circle one): I am now a resident of:  I have been a lawyer for 40 years and believe I can bring my exp No 123Please note that only three (3) Please list your preferences in order of ranking [] first choice [] second choice, and [] third choice. choices will be observed by the City Clerk’s Office. (Regular Boards of City) Choice 1:Board of Adjustment* Choice 2:Planning Board* Choice 3: Design Review Board* Note : If applying for Youth Advisory Board, please indicate your aff 1. Past service on the Youth Center Advisory Board: No Years of Service: if yes, please list the names of your children, their No 2. Present participation in Youth Center activities by your chil ages, and which programs. List below: No Have you ever been convicted of a felony:If yes, please explain in detail: No Do you currently have a violation(s) of City of Miami Beach codeIf yes, please explain in detail: No Do you currently owe the City of Money Beach any money:If yes, please explain in detail: No Are you currently serving on any City Boards or Committees:If yes, which board? What organizations in the City of Miami Beach do you currently h List all properties owned or have an interest in, which are loca No I am now employed by the city of Miami Beach:Which department? The following information is voluntary and is neither part of yo being asked to comply with federal equal opportunity reporting r Gender:Male Race/Ethnic Categories What is your race?White Mark one or more races to indicate what you consider yourself t Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spani No No Physically Challenged: NOTEIf appointed, you will be required to follow certain laws which :   These laws include, but are not limited to, the following:    Prohibition from directly or indirectly lobbying city personnel o    Prohibition from contracting with the city (Miami-Dade County Co o    Prohibition from lobbying before board/committee you have served o Beach Code section 2-26).    Requirement to disclose certain financial interests and gifts (M o (re: CMB Community Development Advisory Committee):  prohibiti from having   any interest in or receiving any benefit from Co or those with whom you have business or immediate family ties Upon request, copies of these laws may be obtained from the “I hereby attest to the accuracy and truthfulness of the applica VII – of the City Code “Standards of Conduct for City Officers, I Richard Baron agreed to the following terms on 1/8/2014 4:03:5 Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date RICHARD BARON Current Employment Position: Managing Partner, Baron, Breslin & Sarmiento, P.A. Areas of Practice: Civil and Criminal Trial, Florida Bar Grievances, Florida Board of Bar Examiner Admissions Litigation Percentage: 100% of Practice Devoted to Litigation Bar Admissions : Florida, 1974 U.S. District Court, Southern District of Florida U.S. District Court, Middle District of Florida Education: State University of New York at Buffalo, J.D., 1970 American University, B.A., 1967 Professional Associations and Memberships: The Florida Bar Dade County Bar Association American Bar Association BIO: Richard Baron has been an attorney since 1974 and the managing principal of the Law Firm of Baron, Breslin & Sarmiento, P.A. Richard is the founder and President of The Friends of the Drug Court, Inc., a 501(c)(3) charitable organization that raises and contributes in excess of $400,000.00 annually to the support of the Miami-Dade County, Florida Drug Court as well as to education and housing grants to the participants of the Drug Court. Richard is also the founder of the Dependency Drug Court Angels a 501 (c) (3) organization supporting the Dependency Drug Court. As an experienced trial lawyer, Richard has represented hundreds of clients with drug and alcohol problems on a pro bono basis. He has been appointed numerous times as a Guardian Ad Litem to assist Family Court Judges in difficult cases with alcohol and drug issues, always without compensation. Richard was the Kiwanis Club of Biscayne Bay “Citizen of the Year” in 2008 for his outstanding outreach to the community. Richard was honored by the judges of the Eleventh Judicial District as the Guardian ad Litem of the year in 2010 and was the recipient of the 2013 Dade County Bar Association’s “Sookie Williams Award” for outstanding community service. Richard is a Charter member of Florida Lawyer's Assistant Program and monitor to dozens of lawyers with substance abuse issues in Miami-Dade County, Florida. Richard is the Facilitator of the Caduceus Group of Recovering Professionals and has been so since 1995. Since 1985, Richard has been a pillar of strength to other addicts and alcoholics since his early recovery. Mr. Baron has sponsored hundreds of recovering addicts and alcoholics in the past 20 years and is responsible for helping countless people stay on the path to long term recovery. "'I®°`ODE SOURCE OF INCOME STATEMENT Disclosure for Tax Year Ending Last Name t Nam Middle Name/Initial 2�6/z 1�,7 Mailing Addre treet 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 197l A)0 /S m t (w )4/11 Filing as a Board Member ❑ County Board Member Municipal Board Member, Name of Municipality: Board where serving //'� Work address Work telephone Ter began on N • I S't" 3 �P*x Y;.,%C q11 ye 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 AKho #'0s M0 So C 0 N 1 hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy ❑ Electronic Copy Signattre of person disclosing l�it�N� /�►�bG+w! �, 1z Print ame Date signed OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138 SP-14 2/13 /MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach,Florida 33139, www.miamibeachfl oov CITY CLERK Office CityClerk @miamibeachfl.gov Tel:305.673.741 1 ,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: 1 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 complywith Miami-Dade County Disclosure Requirements. This means thatthe 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 fife One of the followin g City with the Ci 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. Signature: Date: