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Mayela Mueller 12/31/2014 I A 1 B E AC 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 05-29-2014 Mayela Mueller 6422 Collins Ave. #.1002 Miami Beach, Florida 33141 SUBJECT Affordable Housing Advisory Committee Congratulations! You have been appointed by Mayor Philip Levine to the agency, board or committee named above for a term ending: 12131/2014. 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 Richard Bowman 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.Qov OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk Tel:(305)673-7411,Fax:(305)673-7254 TO: Mayela Mueller RE: Affordable Housing Advisory 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 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 Amendment and Code of Ethics for Public Ofcersandunderstand 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 I have served. Mayela Mueller Sworn to and subscribed before me this day of I"Q , 2014 h Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfl.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. MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach,Florida.33134, WWW.miarnibeachfl.aov CITY CLERK Office C1lyClerk @rniorn16eachfl.9a_, Tel:305.673.741 1 ,Fax:305.673.7254 Acknowledgement of fines/suspension for Board Members for failure to comply with Miarni-Dade County Financial Disclosure Code Provision Code Section 2-1 1 .1 (i) (2) Board Member name: MAYE4R M i understand teal no dater Than JULY 1 OF EACH YEAR.all members of Boards and Committees of the City of iv?ip-mi 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 or give advice to the City Commission, must f le, even though you mayhave been recently appointed. You must file one of the follo,ving with the City Clem of Miumi Beach, 1700 Convention Center Grive. Miami Beach, Florida, by July 1, 2010. 1. A `'Source of Income S'Latement (atlachad) 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. f Signolure: Data: I Ml SOURCE OF INCOME STATEMENT Disclosure for Tax Year Ending Last Name First Name Middle Namellnibal J 013 M v C-Ft Ily F_P. -�- Mailing Address—Street Number,Street Name,or P.O.Box City,State,Zip 10 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. Filling as an Employee County Employee Municipal Employee, Name of Municipality: Position held or sought Department where employed W Work address Work te!ephone Term began on Filing as a Board Member &bl_t r F] County Board Member nicipal Board Member, Name of Municipality; // l Board where serving Work address ('Mork telephone Term began on I 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.0 Flame of Source of Income Address Description of the Principal Business Activity 1 _ I hereby s leer for affir th the information above is a true and correct staternent. RECEIVED BY ELECTIONS DEPARTMENT: C] Hardcopy (-] Electronic Copy Signature of person disclosing Print name Bate signed OFFICE- USC ONLY A",:e t r' Y I N1 )�-ic;