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Mark Taxis 5 MI-AMIBEACH City of Miami Beach, 1700 Convention Center Drivo, M►omi(bench, FL 33139,www.miomibeochfl.gov MEMORANDUM . I TO: Rick Rivera, Miami Beach Employee ' Retireme t Plan Administrator FROM: Jimmy L. Morales, City Manager DATE: June 3, 2014 I SUBJECT: Appointment to the Miami Beach ployee's Retirement Plan Board This memorandum is to advise you that effective June 10, 2014, Assistant City Manager Mark Taxis, will replace Jorge Gomez as one of my appointments to serve on the subject board. If you need additional information, please do not hesitate to contact me. c: Ralph Granado, City Clerk Mark Taxis, Assistant City Manager JLM/KG/SC-T I c We are committed b prcviding excellent public service c-111 sofey to oft who live,tiwrk and play►n out vii ront,irop col,historic community MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk Tel: (305)673-7411, Fax: (305)673-7254 TO: Mark Taxis RE: Miami Beach Employees Retirement Plan 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. 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 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. V—ark Taxis Sworn to and subscribed before me this (cn day of fuel , 2014. Isa el Satchell Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and for additional information regarding the Financial Disclosure We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. FORM 1 F FINAL STATEMENT OF 2014 FINANCIAL INTERESTS (TO BE FILED WITHIN 60 DAYS OF LEAVING PUBLIC OFFICE OR EMPLOYMENT) LAST NAME—FIRST NAME—MIDDLE NAME: NAME OF REPORTING PERSON'S AGENCY: MAILING ADDRESS: �A CHECK ONE bF THE FOLLOWING(see"Who Must File"on page 3): 0 LOCAL OFFICER ❑ STATE OFFICER ❑ SPECIFIED STATE EMPLOYEE t>WCt LIST OFFICE OR POSITION HELD: Y�Slr�n CITY: ZIP: COUNTY: ***BOTH PARTS OF THIS SECTION MUST BE COMPLETED*** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS MY FINANCIAL INTERESTS FOR THE PERIOD BETWEEN JANUARY 1,2014 AND THE LAST DATE I HELD THE PUBLIC OFFICE OR EMPLOYMENT DESCRIBED ABOVE,WHICH DATE WAS ,2014. (Date must be prior to 12/31/14) MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER(must check one): ❑ COMPARATIVE(PERCENTAGE)THRESHOLDS OR ❑ DOLLAR VALUE THRESHOLDS PART A--PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY C-"c 000 +✓ PART B --SECONDARY SOURCES OF INCOME [Major customers,clients,and other sources of income to businesses owned by reporting person-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIFAL BUSINESS BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVI-EPOF SOURCE C:� •r � r PART C --REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] FILING INSTRUCTIONS for when (If you have nothing to report,write"none"or"n/a") and where to file this form are located at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3 of this packet. CE Form 1F Effective:January 1,2014 (Continued on reverse side) PAGE 1 Adopted by reference in Rule 34-8.208(2),F.A.C. PART D—INTANGIBLE PERSONAL PROPERTY[Stocks,bonds,certificates of deposit,etc.-See instructions] (If you have nothing to report,write"none"or"n/a") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E—LIABILITIES [Major debts-See instructions] (If you have nothing to report,write"none"or"n/a") NAME OF CREDITOR ADDRESS OF CREDITOR PART F—INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses-See instructions] (If you have nothing to report,write"none"or"n/a") BUSINESS ENTITY#1 BUSINESS ENTITY#2 NAME OF BUSINESS ENTITY Y--\ A-A ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5%INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE [3 AT SIGNURE: DATE SIGNED: If a certified public accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: I, ' prepared the CE Form 1 F in accordance with Section 112.3145, Florida Statutes, and the instructions to the form. Upon my reasonable knowledge and belief, the disclosure herein is true and correct. Signature Date FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: NOTE: After completing all parts of this form on Local officers: file with the Supervisor of If you are leaving office or pages 1 and 2, including signing and dating it, Elections of the county in which you permanently employment during the first half of send back only pages 1 and 2 for filing (you reside. (If you do not permanently reside in 2014, you may not have filed Form 1 need not return any of the instruction pages). Florida, file with the Supervisor of the county for 2013. In that case, this is not the Facsimiles will not be accepted. where your agency has its headquarters.) last form you will file, even though State officers or specified state the Form IF covers the final portion WHEN TO FILE: employees: file with the Commission on of your term of office or employment. At the end of office or employment each Ethics, P.O. Drawer 15709, Tallahassee, FL You will be required to file Form 1 for local officer, state officer, and specified state 32317-5709; physical address: 325 John Knox 2013 by July 1, 2014, and risk being employee is required to file a final disclosure Road, Building E, Suite 200, Tallahassee, fined if you do not file Form 1 by form (Form 1F) within 60 days of leaving Florida 32303. the filing deadline, even if you have office or employment,'unless he or she takes already filed the CE Form IF. another position within the 60-day period To determine what category your position that requires filing financial disclosure on falls under,see the"Who Must File"Instructions Form 1 or Form 6. on page 3. CE Form 1F Effective:January 1,2014 PAGE 2 Adopted by reference in Rule 34-8.208(2),F.A.C.