Suzanne Hollander 12/31/2015 A, Pt
/ VI\ 11 B E AC H
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
05-29-2014
Suzanne Hollander
PO Box 398595
Miami Beach, Florida 33239
SUBJECM Affordable Housing Advisory Committee
Congratulations! You have been appointed by the City Commission 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.
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.
MIA&AIBEACH
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
i
TO: Suzanne Hollander
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: 12/31/2015.
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.
Suzanne Hollander
t
Sworn to and subscribed before me this day of 2014
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.
M' °'ADE SOURCE OF INCOME STATEMENT
Disclosure for Tax Year Ending Last Name f=irst Name Middle Namellnitial
191�/ �;
,17 Aof '11,40 Ul��
Maili g Address—Street Number,Street Name,or P.O.Box
G (1 S_
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.
Filing as an Employee
❑ County Employee Municipal Employee, Name of Municipality;
Position held or sought
Department where employed �W
Work address Work telephone Terre began on
Filing as a Board Member
County Board Member F-1 Municipal Board Member, Name of Municipality;
Board where serving
Work address Work telephone Term began on
List below every source of income you received,along Mth 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
beneflt. However, the income of your spouse or any hLisiness 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
-- G _3 --
I hereby sv ar far affirm) that the information above is a true and correct statement. AEC.EIVED BY ELECTIONS DEPARTMENT:
D Hardcopy
F] Electronic Copy
C
Signature of person disclosing
a?--, f�
Print narnc Date signed
OFFfCr J._ ._ ..�.��r ]_..,.1._�i��- -_ oc�__�''L)"
U'�ONE Y p�r����r Y � �'.1 + _:,�- ------------"-- - Jr
MIAMI E H
City of Miami Beach,
1700 Convention Center Drive,
Miomi Beach,Nor;&33139,
www.M1Om1beachfi.aov
CITY CLERK Office CilyClerk @miomibeacbfl.gov
Tel:305.673.741 1 , Fox:305.673.7254
Acknowledgement of fines/suspension for Board Members for failure
to comply with Miami-Dade County Financial Disclosure Code Provision
Code Section 2-1 1 .1 (i) (2)
Board Member name: v z
I underslond trot no {offer ihan JULY 1 OF EACH YEAR.all members of Boards and
Committees of the City of i+JliGmi 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 �vhose sole or prima responsibility is to recommend
Y y primary
Iegislation or give advice to the City Commission, must file, even though you may have been
re,cently appointed.
You must file one of the follol,ving v.iith the City Clerk of (Miami Beach. 1700
Convention CenLer Drive. "�.�liami Beach Florida, by Jul y 1, 2010.
1. A "Sourc°of Income Statement (attached) 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.
l �
Signature: Dale,: