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Daniel Aronson 12/31/2014 iv� ! AMIBEACH 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 04-08-2014 Daniel Aronson 118 West Di Lido Drive Miami Beach, Florida 33139 SUBJECT Police Citizens Relations Committee Congratulations! You have been appointed by Commissioner Micky Steinberg 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 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, Rafael E. Granado City Clerk cc: Saul Frances, Parking Director Chief R. Martinez 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 Daniel Aronson RE: Police Citizens Relations 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: 12/31/2014. 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 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. �1 iel A on on Sworn to and subscribed before me this day of '' , 201 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. MIAMIBOARD AND COMMITTEE APPLICATION FORM Acoosc IJ �AN Ems. Last Name First Name Middle Initial 19H 0 N t r1tr i DIC. A—\145 0-rad►c h 1=L ?3 114 G' Home Address City State Zip Code s-T((L'-y 3-7-T 3 G� ��15 - S.S3 �' I &ranSOA b!' er A%a A C4 Work Telephone Cellular Telephone E I addresfJ L IP a I/' e�i Bu-sinesk.h ame Occupation 1y SO 3.� t '3 Business Address City. State Zip Code Professional License(describe): Expires: Please attach a copy of currently effective professional license. Pursuant to City Code section 2-22(4)a & 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 for a minimum of six months. • Resident of Miami Beach for a minimum of six(6) months: Yes X or No • Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: Yes�-=a or No C3 • Are you a registered voter in Miami Beach: Yes V or No • I am now a resident of: North Beach �D South Beach�D Middle Beach • I am a plyin for an appointment because I ha_vLe spe ial abiliti , knowledg and experi nc . Please list below: • Are you presently a registered lobbyist with the City of Miami Beach?Yes Ca or No 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. ❑Affordable Housing Advisory Committee ❑Fine Arts Board 0 Normandy Shores Local Government Neighborhood Improvement ❑Art in Public Places Committee ❑Disability Access Committee ❑Parks and Recreation Facilities Board 0 Beautification Committee ❑Gay, Lesbian, Bisexual and Transgender ❑Personnel Board Enhancement Committee GLBT ❑Bicycle-Pedestrian Advisory Committee ❑Golf Advisory Committee ❑Planning Board ❑Board of Adjustment* ❑Health Advisory Committee XPolice Citizens Relations Committee 0 Budget Advisory Committee 0 Health Facilities Authority Board ❑Production Industry Council 0 Capital Improvements Projects ❑Hispanic Affairs Committee ❑Safety Committee Oversight Committee ❑Committee on the Homeless 0 Historic Preservation Board ❑Sin le Family Residential Review Panel ❑Committee for Quality Education in MB ❑Housing Authority 0 Sustainability Committee ❑Community Development Advisory ❑ Loan Review Committee ❑Tennis Advisory Committee ❑Community Relations Board ❑Marine Authority ❑Transportation and Parking Committee 0 Convention Center Advisory Board ❑Miami Beach Commission for Women 0 Visitor and Convention Authority 0 Debarment Committee 0 Miami Beach Cultural Arts Council ❑Youth Center Advisory Board °O 0 Design Review Board* ❑Miami Beach Human Rights Committee ❑Waterfront Protection Committee ❑Miami Beach Sister Cities Program Page 1 of 4 °O Note: If applying for Youth Center Advisory Board, please indicate your affiliation with the Scott Rakow Youth Cent 1. Past service on the Youth Center Advisory Board:Yes IJ No LJ Dates of Servic 2. Present participation in Youth Center activities by your : es No❑ If yes, please list below the names of c ildren,their ages and the programs in which they participate: Child's name: Age: Program: Chil ' me: Age: Program: • Have you ever been convicted of a felony?Yes or No If yes, please explain in detail: • Do you currently have a violation(s)of City of Miami Beach Code?Yes❑or Now If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money?Yes❑or N44 If yes, explain in detail: •Are you currently serving on any City Board or Committee?Yes L1 or No�Q If yes,which board/committee? • In what organization(s)in the City of Miami Beach do you currently hold membership? mi A- Name Position Name Position • List all properties owned or in which you h ve an i est within the City of ami B ach: l L-t'-i � ,�. 2a L 3 31 `i a •Are you now employed by the City of Miami Beach?Yes❑or NoI4 Which department and title? • Pursuant to City Code Section 2-25 (b): Do you have a parent ❑, spouse ❑, child ❑ brother❑ or sister❑ who is employed by the City of Miami Beach?Check all that apply. No t4o vj e� If"Yes,"identify person(s)and department(s): The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is being asked to comply with City diversity reporting requirements. Gender: Male VJ Female Lj Race/Ethnic Categories What is your race? ❑African-American/Black Caucasian/White Asian or Pacific Islander ❑Native-American/American Indian ❑Other—Print Race: Page 2 of 4 Do you consider yourself to be Spanish, Hispanic or Latino/a?Mark the "No"box if not Spanish, Hispanic, Latino/a. No Yes Do you consider yourself Physically Disabled? 2 No Yes NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS.THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO: • 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 the board/committee you have served on for period of one year after leaving office(Miami Beach City Code section 2-26). • Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1). • 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). • Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities. • Voting conflict—Form 8B is for use by any person serving at the county, city or other local level of government on an appointed or elected board, council, commission, authority or committee. It applies equally to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. 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 I HAVE RECEIVED, READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY." li I d1 a d✓1 O Applica ignat re Da Name of Applicant(PLEASE PRINT) Received in the Clerk's Office by: Name of Deputy Clerk Control No. Date PLEASE REMEMBER TO ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. Daniel H Aronson 1440 North View Drive Miami Bead,FL 33140-4248 Page 3 of 4 MIAMI- DE SOURCE OF INCOME STATEMENT Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial 2013 ARONSON DANIEL H Mailing Address—Street Number,Street Name,or P.O.Box 1440 N. VIEW DR. City,State,Zip ID Number MIAMI BEACH, FL 33140 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: N/A 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: CITY OF MIAMI BEACH Board where serving CITY OF MIAMI BEACH POLICE CITIZENS RELATIONS COMMITTEE Work address Work telephone Term began on 1450 BRICKELL AVE., #1900, MIAMI, FL 33131 (305) 714-4377 APRIL 2014 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 Daniel H Aronson, P.A. 1450 BRICKELL AVE.,#1900,MIAMI,FL 33131 Partner in Law Firm(Berger Singerman LLP) UNIVERSITY OF FLORIDA(LEVIN COLLEGE OF LAW) P.O. Box 117620,Gainesville, Florida 32611 Law School Various Investments(principally managed/held by Various Addresses Investments JP Morgan,Morgan Stanley&MML Investors Services) I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑Hardcopy ❑Electronic Copy Signatur rs disclo ing Print name Date Igned OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138 SP-14 2/13 NAIAMI BEACH City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK'S OFFICE CityClerk @miamibeachfl.gov Telephone: 305.673.7411 Fax: 305.673.7254 Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami- Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2) Board Member's Name: ca A I ' TG 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 Financial Disclosure Requirements. This means that the 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 they may have been recently appointed. One of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than 12:00 noon of July 1, of each year. 1. A "Source of Income Statement" For your convenience, the form is attached. The form can also be downloaded at: http://www.miamidade.gov/elections/Library/source of income statement.pdf 2. A "Statement of Financial Interests (Form 1)" For your convenience, the form is attached. The form can also be downloaded at: http://www.ethics.state.fl.us/ethics/forms.htm1 3. A Copy of your 2012 Federal Income Tax Return Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, 60 days in jail or both. Signatur b ate F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application revised 5-22-13 FINAL.doc Updated:Thursday,April 10,2014 Page 4 of 4