Maria Maltagliati 12/31/2014 NVANAIBEA f
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
06-24-2014
Maria Maltagliati
4560 N. Jefferson Ave.
Miami Beach, Florida 33140
S, T�$ 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: 1213112014.
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,
Raf el 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
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfi.gov
OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk
Tel: (305)673-7411,Fax:(305)673-7254
TO: Maria Lucila Maltagliati
RE: Miami Beach Sister Cities Program
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: 12/31/2015.
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 Amendment and Code of Ethics for Public Officers 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 st, following the closing of the calendar year on which I
have served.
Maria Licila Mat is i
3 �1'4
Sworn to and subscribed before me this day of ' 2014
a
Silvia Prieto
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfi.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.
"AA l AM I B EAC H BOARD AND COMMITTEE APPLICATION FORM
g Ata AX&d AV,H9
Last Name First Name Middle Initial
��,9 9/AFL &OF6 ke 331410
Home Address City State Zip Code
7,"1.;)56 9 /egg..
Home Telephone Work Telephone Cellular Telephone Email address
SCE eegaz
usiness Name Occupation
Z110 idid.Z2 4246P_ &deem e&cam ,Ce _:33/,31
Business Address City State /� Zip Code
Professional License(describe): Expires: e v,
� do
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 ownership/interest 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:Yeso or No
• Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: Yes�J or No-Zi
• Are you a registered voter in Miami Beach: Yesl��Yor No
• I am now a resident of: North Beach Fi South Beach U Middle Beach-[Er
• 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�J 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.
❑Ad Hoc Committee Centennial Celebration ❑Health Advisory Committee 0 Parks and Recreation Facilities Board 00
❑Affordable Housing Advisory Committee ❑Health Facilities Authority Board 0 Personnel Board
❑Art in Public Places Committee 0 Hispanic Affairs Committee 0 Planning Board
❑Board of Adjustment* 0 Historic Preservation Board 0 Police Citizens Relations Committee
0 Budget Advisory Committee ❑Housing Authority 0 Production Industry Council
0 Committee on the Homeless 0 Marine&Waterfront Protection Authori 0 Sustainability Committee
0 Committee for Quality Education in MB 0 Miami Beach Commission for Women 0 Transportation,Parking,&Bicycle-Pedestrian
Facilities Committee
❑Convention Center Advisory Board 0 Miami Beach Cultural Arts Council 0 Visitor and Convention Authority
0 Design Review Board* ❑Miami Beach Human Rights Committee
0 Disability Access Committee ; Miami Beach Sister Cities Program
4 0 Gay,Lesbian,Bisexual and Transgender ❑Normandy Shores Local Government
Enhancement Committee GLBT Neighborhood Improvement
* Board members are required to file Form 1 —"Statement of Financial Interest"with the State.
If you seek appointment to a professional seat (e.g., lawyer, architect, etc.) on the Board of Adjustment, Design Review
Board, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish the
following information:
Type of Professional License License Number
License Issuance Date License Expiration Date
Page 1 of 4 `
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
C..)
°O Note: If applying for the Youth Center positions of the Parks and Recreations Facilities Board,please indicate your affiliation with
the Scott Rakow Youth Center and/or the North Shore Parks Youth Center:
• Please describe your past service with the City's Youth Centers(include dates of service):
• 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:
r fit,
• Have you ever been convicted of a felony?Yes❑or No I,f yes, please explain in detail:
• Do you currently have a violation(s)of City of Miami Beach Code?Yes❑or Nd If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money?Yes❑or N --if yes,explain in detail:
•Are you currently serving on any City Board or Committee?Yes❑or No aiiyes,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❑or N0,0�
Which department and title?
• Pursuant to City Code Section 2-25 (b): Do you have a parent ID, spouse , child ID brother❑ or sister❑ 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 U Femal
Race/Ethnic Categories
What is your race?
❑African-American/Black
Caucasian/White
❑Asian or Pacific Islander
❑ Native-American/American Indian
❑Other—Print Race:
Page 2 of 4
F•\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
Do you consider yourself to be Spanish, Hispanic or Latino/a?Mark the "No"box if not Spanish, Hispanic, Latino/a.
F-1 No
oZ•Yes
Do you consider yourself Physically Disabled?
o
�...1 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."
Ap icant's Signature Date Nam of Applicant(PLEASE PRINT)
y
Received in the City Clerk's Office by
Name of Deputy Clerk Contr I No. Date
PLEASE 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
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
T
MARIA LUCILA "LUCY" MALTAGLIATI
4560 NORTH JEFFERSON AVENUE
MIAMI BEACH, FLORIDA 33140
(305) 672-1303 or(305) 762-2369
Lmalta @aol.com
EDUCATION
Science & Communications Degree (4 years BS)
University of Lima, Lima, Peru
Realtor License
Miami, Florida
MEMBERSHIPS
Temple Beth Shalom
15 years
North Beach Elementary PTSA
Mast Academy PTSA
Beach High PTSA
NA'AMAT (Life Member)
EMPLOYMENT HISTORY
Appraisal Works, Inc.
Miami, Florida
(18 years)
Homeworks Realty, Inc.
Miami Beach, Florida
(18 years)
I have been a resident of Miami Beach since 1991. Have 3 children that were born and
raised in Miami Beach
i
. , .
J..�-
MIMIMF DI=_ SOURCE OF INCOME STATEMENT
Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial
2013 Ma (tajG,trcd Marfc-&-
Mailing Address—Street Number,Street Name,or P.O.Box
City,State,Zip ID Number
3 V D
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
❑ County Board Member ❑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 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 Address Description of the Principal)Business Activity
�Q�lf
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
Sig a re of person disclosing
-7/
Print name Date sig ed
OFFICE USE ONLY Accepted: Y /N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138 SP-14 2/13