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Michael Bernstein 12/31/2015 M 1 A/0 1 B EAC 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 06-10-2014 Michael Bernstein 5660 Collins Avenue #9D Miami Beach, Florida 33140 SUBJECT` Affordable Housing Advisory Committee Congratulations! You have been appointed by Commissioner Deede Weithorn 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 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 I E. Granado City Clerk I 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: Michael Bernstein 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 Offl'cersandunderstand 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. Michael Bernstein st � Sworn to and subscribed before me this r day of v� 2014 , D 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 BOARD AND COMMITTEE APPLICATION FORM Last Name First Name Middle Initial ,%_ 60 CbLu#-JQ jx\;E,*C1N PA104-41 OE-PC44- :FL- -33P+0 0 Home Address l City State Zip Code t 77— IN7 Home Telephone Work Telephone Cellular Telephone Email address Business Name Occupation %(05'a WQ2J)�� b� I,%I-VF- "w,,"t 6FOOA T1, 33 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 minimum of six months; or b. An individual shall demonstrate ownership/interest for a minimum of six months in a business .stablis ied ilrthe City for a minimum of six months. �. c • Resident of Miami Beach for a minimum of six (6) months: Yes r No -1. • Demonstrates ownership/interest in a business in i Beach for a minimum of six months: Yes or�o • Are you a registered voter in Miami Beach: Yes or No �r: .� • I am now a resident of: North Beach EZ� South Beach[Z� Middle Beac • I am applying for an appointment because I have special abilities, knowledge and xperience. Please`list'below-� • Are you presently a registered lobbyist with the City of Miami Beach? Yes Zt 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. 0 Ad Hoc Charter Review and Revision Board ❑Debarment Committee 0 Miami Beach Human Rights Committee ❑Ad Hoc Committee Centennial Celebration ❑Design Review Board* 0 Miami Beach Sister Cities Program 0 Ad Hoc Committee Flooding Task Force 0 Disability Access Committee ❑Normandy Shores Local Government Neighborhood Improvement ❑Affordable Housing Advisory Committee 0 Fine Arts Board arks and Recreation Facilities Board 0 Art in Public Places Committee ❑Gay,Lesbian,Bisexual and Transgender ❑Personnel Board enhancement Committee GLBT ❑Beautification Committee I if Advisory Committee 0 Plarining Board ❑Bicycle-Pedestrian Advisory Committee 0 Health Advisory Committee olice Citizens Relations Committee 0 Board of Adjustment* 0 Health Facilities Authority Board 0 Production Industry Council ❑Budget Advisory Committee ❑Hispanic Affairs Committee ❑Safety Committee 0 Capital Improvements Projects Oversight ❑Historic Preservation Board 0 Single Family Residential Review Panel Committee 0 Committee on the Homeless ❑Housing Authority r%4stainab ilit Committee' 0 Committee for Quality Education in MB f'',pan Review Committee is Advisory Committee 0 Community Development Advisory Committee f Aarine Authority ransportation and Parking Committee 0 CqFnmunity Relations Board ❑Miami Beach Commission for Women ❑Visitor and Convention Authority 3i cAonvention Center Advisory Board 0 Miami Beach Cultural Arts Council ❑Youth Center Advisory Board aterfront Protection Committee * 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: �Lc9'P� 14_r i_a Type of Professional License ' Yp License Number 1. '' < rad �i101 License Issuance Date 12-40 2. License Expiration Date Page 1 of 4 F:\CLER1$ALL\aFORMS\BOARD AND COMMITTEESI6C APPLICATION 46 BOARDS 12-16-2013.doc oO Note: If applying for Youth Center Advisory Board, please.indicate"your affiliation with the Scott Rakow Youth'Ceriter: 1. Past service on the.Youth Center Advisory Board:.Yes I.J No Dates of Servic 2. Present participation in Youth Center activities by your children: Yes Z) 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 ED or No If yes, please explain in detail: • Do you currently have a violation(s)of City of Miami Beach Code?Yes E—:]or N If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money?Yes EJ or No If yes, explain in detail: •Are you currently..serving on any City Board or Committee?Yes�1 or No*f 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�or Nol;6 Which department and title? • Pursuant to City Code Section 2-25 (b): Do you have a parent EZI, spouse E-:a, child E—:1 brother E�J or sister Z� 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 Lj Race/Ethnic Categories What is your race? frican-American/Black Sdf�laucasian/White 5qAsian or Pacific Islander ED Native-American/American Indian Other–Print Race: Page 2 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION 46 BOARDS 12-16-2013.doc I Do yo consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No"box if not Spanish, Hispanic, Latino/a. 0 Yes Do y consider yourself Physically Disabled? 0 WYes 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 STATU C R Applic ht's Signature Date Name of Applicant(PLEASE PRINT) Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Dat 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 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION 46 BOARDS 12-16-2013.doc Michael I. Bernstein THE BERNSTEIN LAW FIRM 1688 Meridian Avenue,Suite#418 Miami Beach, Florida 33139 Tel.(305)672-9544 Fax. (305)672-4572 e-mail:michaei&bernstein-lawfirnn.com PROFESSIONAL EXPERIENCE: The Bernstein Law Firm January 1,2005 -Present Miami Beach, Florida Managing Member of boutique law firm based in Miami Beach practicing in areas of civil and commercial litigation, real estate and corporate and business transactions in Florida, New Jersey and New York. The Firm serves as outside corporate/general counsel to several companies nationwide as well as outside corporate/general counsel to Car Charging Group,Inc.,a Nevada public company. Bernstein& Schwartz,LLP September 2001 —December 2004 New York,New York/Miami, Florida Partner of law firm based in Manhattan, New York with office in Miami, Florida which practice covered areas of civil and commercial litigation, consumer credit and commercial collections, real estate and corporate and business transactions. Bernstein,Weiss&Schwartz December 2000-September 2001 New York,New York Partner of law firm based in Manhattan, New York with office in Miami, Florida which practice covered areas of civil and commercial litigation, consumer credit and commercial collections, real estate, corporate and business transactions. Bernstein&Weiss,LLP February 1997-September 2000 New York,New York based in Manhattan New York with office in Miami Florida which practice covered Partner of law firm bas p areas of civil and commercial litigation, landlord tenant, consumer credit and commercial collections, bankruptcy,real estate and corporate and business transactions. EDUCATION: Juris Doctorate May 1995 Brooklyn Law School Brooklyn,New York Bachelor of Arts May 1992 New York University New York,New York ASSOCIATIONAL MEMBERSHIPS: Admitted to Practice law in the State of New York, US District Court for the Eastern District of New York,US District Court for the Southern District of New York, State of New Jersey, US District Court for New Jersey, State of Florida, US District Court for the Southern District of New Florida and US District Court for the Middle District of Florida Miami Beach Board Appointments: Community Development Advisory Board 2009-2012 t �� #� �,.� yp� ��\ -�( � MIAN\1 BE H City of Miami Beach, 1700 Convention Center Drive, Miarni Beach,Florida 33139, www.miarnibeachfi.00v CITY CLEQK Office CilyClerk @miarn1beachfl.gov Tel:305.(73.741 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) r Board Member name: i understcnd trot no Toter than JULY 1 OF EACH YEAR-oil members of Boards and Committees of the City of Miiami Beach, including those of a purely advisory nature, are required to Complywith Miami-Dade County Disclosure Requirements. This meansthatthe members of City Advisory Boards, ,vhose sole or primary responsibility is to recommend legislation or give advice to the City Commission, must file, even though you mayhave been recently appointed. You must file one of the followl;ng +ith the -City Clerk of Miami Beach: 1700 Convention Center Drive. Miami Beach, Florida, by July 1, 2010. 1. A "Source 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 per on or firm to a fine not to exceed $500.00 or by imprisonment in the my jail for a period not to exceed sixty days, or oth. Signature: q(je