Lidia Resnick 12/31/2014 N'i I A/M I B rE A C H
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
Lidia Resnick
2700 Bay Ave
Miami Beach, Florida 33140
SCIBJEGT s 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: 12/31/2014.
----- ursuant-to-. rdinance-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.
i
�4
MIA/\,AIBEACH
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 Lidia Resnick
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.
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 ithe 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.
�Ldia Resnick
Sworn to and subscribed before me this day of ' 2013
` v
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.
"s
A,R D AND C G W, I T E-E A P G 4 Z I 01IN.1- 0 R'
Last Name First Name Middle Ift0al
r?
Home Address City State Zip�CodjzZ
S C,
Qome �elephone Work Telephone Cellular Telephone Email addF6s-s
Business Name Occupation
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 ownershipAnterest 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 0"o-r NoE-3
• Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: Yes�or No�D
• Are you a registered voter in Miami Beach: Yes 0or No �—Dl
• I am now a resident of: North Beach �D Middle Beach—1 South Beach 1.
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
• Are you presently a registered lobbyist with the City of Miami Beach? Yes 1—D 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 0 Fine Arts Board ❑ Normandy Shores Local Government
Neighborhood Improvement
❑Art in Public Places Committee 0 Disability Access Committee ❑ Parks and Recreation Facilities Board
Z Beautification Committee ❑Gay, Lesbian, Bisexual and Transgender ❑Personnel Board
I Enhancement Committee(GLBT)
❑Bicycle-Pedestrian Advisory Committee ❑'Golf Advisory Committee ❑Planning Board
❑ Board of Adjustment* * 0 Health Advisory Committee 0 Police Citizens Relations Committee
❑Budget Advisory Committee 0 Health Facilities Authority Board ❑Production Industry Council
0 Capital Improvements Projects ❑Hispanic Affairs Committee ❑Safety.Committee
Oversight Committee
0 Committee on the Homeless ❑Historic Preservation Board yf ❑Single Family Residential Review Panel
❑Committee for Quality Education in MB 0 Housing Authority ❑Sustainability Committee
0 Community Development Advisory ❑ Loan Review Committee 0 Tennis Advisory Committees,
0 Community Relations Board ❑Marine Authority ❑Trans p rtation and Parkin `committee
0 Convention Center Advisory Board ❑Miami Beach Commission for Women ❑Visitor and Convention;Autcority
❑Debarment Committee ❑Miami Beach Cultural Arts Council
0 Youth Center Advisor'y-Board:00
❑Design Review Board* 0 Miami Beach Human Rights Committee ❑Waterfront Protection`-tomn A' ee
0 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 Center:
1. Past service on the Youth Center Advisory Board:Yes ImJl No � Dates of Service:
2. Present participation in Youth Center activities by your children:Yes�-- No
If yes, please list below the names of your children,their ages and the programs in which they participate:
Child's name: Age: Program:
Child's name: 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 E-31 or Nom If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money?Yes or No .[E]IF If yes, explain in detail:
•Are you currently serving on any City Board or Committee?Yes Us'ror No`_I If yes,which board/committee?
• In what organization(s) in the City of Miami Beach do you currently hold membership?
Name Position
Name Position
• List all properties owned or in which you have an interest within the City of Miami Beach:
•Are you now employed by the City of Miami Beach?Yes Zi or Nolr
Which department and title?
• Pursuant to City Code Section 2-25 (b): Do you have a parent 1—:1, spouse child ZD_11 brother Zi or sister I—D-i who is
employed by the City of Miami Beach?Check all that apply.
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 ' Female
Race/Ethnic Categories
What is your race?
ED African-American/Black
A CaucasianANhite
ED 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; Hispani , Latino/a.
No `
ZI Yes
Do you consider yourself Physically Disabled?
[ N o
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."
Applicant's Signature D Name of Applicant(PLEAS PRINT)
Received in the City Clerk's Office by :
ame of Deputy Clerk Control No. Cfate
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.
Page 3 of 4