Magui Benitez 12/31/2015 (2) it 01 A NA IB EACH
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
06-23-2014
Magui Benitez
757 West Ave. #412
Miami Beach, Florida 33139
SUBJECT 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: 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,
e
Rafael 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.
MIAMIBE A
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
TO: Magui Benitez
RE: Miami Beach Sister Cities Program
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 for a term ending: 12/31/2 015.
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 andunderstand 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.
Ma i Benitez
Sworn to and subscribed before me this io 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.
4
1 'NAI�M I BEACH BOARD AND COMMITTEE APPLICATION FORM
/�) EA,)/ r-E -2
Last Name First Na a Middle Initial
S _ v 12- IJIq 6gRk �
Home Address City State Zip Code
Home Telephone Work Telephone Cellular Telephon mail address
Business Name Occupation
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
a minimum of six months; or b. An individual shall demonstrate ownership/interest for a minimum of six m_o/nths in a
business established in the City for a minimum of six months.
• Resident of Miami Beach for a minimum of six(6) months: Yes or No
• Demonstrates ownership/interest in a business4iD business ' Miami Beach for a minimum of six months: Yes ID or No LJ
• Are you a registered voter in Miami Beach: Yes Q5 or No La
• I am now a resident of: North Beach Z1 South Beach'M Middle Beach
• 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 Ca or No�d I
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 ❑Parks and Recreation Facilities Board °O
❑Affordable Housing Advisory Committee ❑Health Facilities Authority Board ❑Personnel Board
❑Art in Public Places Committee ❑Hispanic Affairs Committee ❑Planning Board
❑Board of Adjustment* ❑Historic Preservation Board ❑Police Citizens Relations Committee
❑Budget Advisory Committee ❑Housing Authority ❑Production Industry Council
,L Committee on the Homeless ❑Marine&Waterfront Protection Authority ❑Sustainability Committee
❑Committee for Quality Education in MB ❑Miami Beach Commission for Women ❑Transportation,Parking,&Bicycle-Pedestrian
Facilities Committee
❑Convention Center Advisory Board ❑Miami Beach Cultural Arts Council ❑Visitor and Convention Authority
❑Design Review Board* ❑Miami Beach Human Rights Committee
❑Disability Access Committee iami Beach Sister Cities Program
❑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 S icense Number O ,06/ 11/ of
License Issuance Date
1-677X- License Expiration Date
,• ' g
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CO 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:
• Have Yes ou ever been convicted of a felony?y y. or No yes, please explain in detail:
• Do you currently have a violation(s)of City of Miami Beach Code?Yes U or No�m If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money?Yes�j or No�R If yes, explain in detail:
• Are you currently serving on any City Board or Committee?Yes U or No If 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 prope s owned or in w Ich ou have an interes within the City of Miami Beach:
• Are you now employed by the City of Miami Beach?Yes 1:3 or No�2f
Which department and title?
• Pursuant to City Code Section 2-25 (b): Do you have a parent ID, spouse U, child 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 Female
Race/Ethnic Categories
What is your race?
-2 African-American/Black
Caucasian/White
EJ Asian or Pacific Islander
Native-American/American Indian
Other—Print Race:
Page 2 of 4
F:TLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
i
Do you consider yourself to be Spanish, Hispanic or Latino/a?Mark the "No"box if not Spanish, Hispanic, Latino/a.
No
Yes
Do you consider yourself Physically Disabled?
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."
App ican ignature Date a of A plicant(PLEASE PRINT)
Received in the City Clerk's Office by: 19 3
Name of Deputy Clerk Control 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.
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AMENDMENT
MAGUI BENITEZ'S RESUME
Present address: 757 Vilest Avenue apt.#412. Miami Beach. Fl. 33139
E-mail_ Mbenitez0450 aii.com
Phone: 786.368.4449
PROFESSIONAL EXPERIENCE
*"Unidad", Miami Beach Hispanic Community Center,Archdiocese of Miami
Part Time was terminated on October/2008.
* Royal Caribbean International" continous working since Jan. 1999 to
November,2012.when I retired.
Magui Benitez
7705 Abbott Ave#206 ® Miami Beach, FL 33141 • (305) 868-8532/(786) 368.4449(cell)
PROFESSIONAL,OBJECTIVE
To work in a professional atmosphere where I can use my training and experience and
attain a high level of job satisfaction.
PROFESSIONAL EXPERIENCE,
July 21"to Present. "Unidad",Miami Beach Hispanic Community Center.
Archdiocese of Miami.-Part Time
Office Clerck, computer data entry etc.
Jan. 1999 to April, 2008 Royal Caribbean International
Pre and Post Guest Operation—Part time
Cruise Line Costumer Services, complete check-in process.
Nov. 2000 to 2004 Miami Heart Institute
Miami Beach, FL(305)672-1111
Cardiovascular Department—Per Diehl
Covering EECP clinic, Heart station and Cardiac rehab.
EECP Treatment/therapy, SUB Coordinator, monitor EKG.
Oct. 1997 to Aug. 1998 Register U
Patient registration, insurance verification etc.
Jun. 1997 to Oct. 1997 Office Manager of Senior Health Center
Coordination of all activities in the Center; All clerical _
duties, billing, charges, etc.
Jan. 1997 to Jun. 1997 Volunteer Work
Responsible for the front desk and ambulatory surgery.
Jun. 1993 to Dec. 1996 OCHO*RAY INC.
Miami,FL (305)263-97
Page two
Feb. 1989 to Dec. 1991 Graphic Composing
Miami, FL
Junior Accountant-All accounting duties
Jun. 1987 to Feb. 1989 Laboratory Medicine
Miami,FL (305)267-1603
Bookkeeper
Responsible for A/R., P/R, bank reconciliation's, etc..
Feb. 1981 to Jul. 1986 Dade Steel Sales
Miami, FI (305)591-7558
Office Manager
EDUCATION
Jan. 1992 to Jan. 1993 Cardiovascular, Cardiographic and Phlebotomy Technologist
National School of Technology .
Hialeah Campus
Jan. 1959 to Jan. 1962 Elementary Teacher
School of Elementary Teacher
Cuba
SUMMARY OF QUALIFICATION
Registered Cardiovascular Technologist (non-invasive)
Certified Cardiographic Technologist (CCT)
Certified Phlebotomy Technician #640508921095
EECP'Clinical Training Certificate
PERSONAL
Organized, dependable and able to deal effectively with people at all levels.
Bi-lingual; Fluent written and spoken Spanish.
Excellent health; Enjoys traveling after children graduated from college.
REFERENCES AVAILABLE UPON REQUEST
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MIAMI
City of Miami Beach
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.gov
CITY CLERK'S OFFICE CityClerk @miamibeachfl.gov
Telephone: 305.673.7411 Fax: 305.673.7254
Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami-
Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2)
Board Member's Name.
I understand that no later than July 1, of each year all members of Boards and Committees of the City of
Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County
Financial Disclosure Requirements. This means that the members of City Advisory Boards, whose sole or
primary responsibility is to recommend legislation or give advice to the City Commission, must file, even
though they may have been recently appointed.
One of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive,
Miami Beach, Florida, no later than 12:00 noon of July 1, of each year.
1. A"Source of Income Statement"
For your convenience, the form is attached. The form can also be downloaded at:
http://www.miamidade.gov/elections/Library/source of income statement.pdf
2. A"Statement of Financial Interests (Form 1)"
For your convenience, the form is attached. The form can also be downloaded at:
http://www.ethics.state.fl.us/ethics/forms.html
3. A Copy of your 2013 Federal Income Tax Return
Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
of no more than $500, 60 days in jail or both.
r
1714a X
Signatu ate
Updated:Wednesday,.April 09,2014
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MIAMI SOURCE OF INCOME STATEMENT
Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial
2013 "/f//1,Ar zV
Mailing Address—Street Number,Areet Na me,or P.O.Box.
City,State,Zip ID 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
Work address Work telephone Term began on
Filing as a Board Member
County Board Member Municipal Board Member,Name of Municipality:
Board where serving r _
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
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT-
❑Hardcopy
❑Electronic Copy
Signatu a of person sclosing
Print name Date signed
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138_SP-14 2/13