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Kristen Rosen Gonzalez 12/31/2015 �1 VldAMI BEACH 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 05-15-2014 Kristen Rosen Gonzalez 1324 Normandy Drive Miami Beach, Florida 33141 SUBJECT°_ Miami Beach Sister Cities Program Congratulations! You have been appointed by Mayor Philip Levine 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, Rafael E. Granado City Clerk cc: Saul Frances, Parking Director Desiree Kane 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. 0 0 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 Kristen Rosen Gonzalez RE: Miami Beach Sister Cities Program 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. 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 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 Ina cial disclosure*requirements of Miami-Dade County or the State of Florida (depending on the b and r ommittee on which I serve)on July 1, following the closing of the calendar year on which I h s Kris I n R4 en Gonzalez Sworn to and subscribed before me this day of , 2014. ilvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfi.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. • MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach,Florida 33139, www.miamibeachfl.aov CITY CLERK Office CityClerk @miomibeachfl.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) Z?4 Board Member name: understand that no later than JULY i 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 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] 3. A Copy of the person's current Fed.-ral 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 i prisonment in the county jail for a period not to exceed sixty . days, or both. Signatur ate: ""®°ODE SOURCE OF INCOME STATEMENT Disclosure for Tax Year Ending Last N e First Name Middle Name/initial Mailing Address—Street Number,'Str t Name,or P.O.Box 3 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 Count Board Member Municipal Board Member Name of Municipality: /` ❑ Y P � Board where serving /1/f /mss 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 Ad ress iption of the Principal Business Activity I hereby s1vear(o a irm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑Hardcopy ❑ Electronic Copy Al Ik S gn t r f is ing o � 3 jriA name Date sk ned OFFICE USE ONLY A.GG2pted: Y / !N Delidency: °rocessed Date,'Ini ia!s: $Gad^°G Da'a/I^iSals: 138 SP-7^ 2/13 CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Rosen GonzalezKristenR NAME: First Name Last Name Middle Initial FL33141 HOME ADDRESS : 1324 Normandy DriveMiami Beach Home No./StreetState Apt No.City Zip Code kristen@rosengonzalez.com 30596547253059654725 PHONE : WorkEmail Address HomeFax Professor - English and Communications Business Name: Miami Dade College Position: 11011 S.W. 104th Street MiamiFL33176-3393 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 North Beach circle one): I am now a resident of:  Professor of Communications, Public Speaking, Writing, Networkin 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:Miami Beach Sister Cities Program Choice 2: Choice 3: 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 Miami Beach any money:If yes, please explain in detail: Yes Are you currently serving on any City Boards or Committees:If yes, which board? Miami Beach Commission for Women. What organizations in the City of Miami Beach do you currently h NameTitle Chamber of CommerceIndividual PTA - Miami Beach Senior HighParent - Member 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:Female Race/Ethnic Categories White What is your race? 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 Kristen Rosen Gonzalez agreed to the following terms on 3/10/ Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date Kristen Rosen Gonzalez 1324 Normandy Drive Miami Beach, FL33141 Tel: 305-965-4725 Email: kristen@rosengonzalez.com Professional Miami Dade College, Assistant Professor May 2010 - Present English and Communications Department, Kendall Campus Full-time tenured faculty member in English and Communications 2013-2014 Academic Year Co-Chair of MDC Hispanic Heritage Month Committee, Co-Chair of the Student Achievement nd Melinda Gates Foundation, 2014 MDC Legislative Advocacy Committee, Theodore Gibson Oratorical Competition, 2014 MDC Commencement Committee, Miami 2012-2013 Academic Year Co-Chair of Women's Heritage Month Committee, Kendall Campus, Co-Chair of the Student Achievement Initiative's Undergraduate Pathways Planning Committee (UPP), Completion By Design, Bill and Melinda Gates Foundation, Theodore Gibson Oratorical Competition Planning Committee, 2013 MDC Legislative Advocacy Committee Miami Dade County Public Schools Aug 2009 - May 2010 Miami Central High School Language Arts Instructor, American Literature FCAT Tutor, students in need of remediation in grammar and reading 123jump.com, Ticker MagazineJan. 1999 - June2004 Business-to-business financial media for financial services industry Managing editor for team of writers in USA, India and Bulgaria at financial media company Writer/editor of monthly cover story Education Barry University, Miami Shores Jan. 2011 - Present Ph.D. Doctoral Candidate in Leadership in Higher Education Administration Barry University, Miami Shores June 2006 M.A. in Communication Arts Tufts University, Medford, MA Sept. 1991- May 1995 B.A. in French and Spanish Literature Other Languages: Fluent in English, French and Spanish Certifications: State of Florida Permanent Teaching Certification in Language Arts K-12, French K-12 and Spanish K-1