Michael Weil 12/31/2015 MIA/MlBEACH
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
08-18-2014
Michael Weil
7935 East Drive#1203
North Bay Village, FL 33141
1�SUBJECT.,' Audit Committee
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,
R fael E. Granado
City Clerk
cc: Saul Frances, Parking Director
Patricia Walker
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.
MIANAIBEACH
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: Michael Weil
RE: Audit 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: 12/31/2 015.
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 1st, following the closing of the calendar year on which I
have served.
Pichael Weil
/57_147 Sworn to and subscribed before me this day of P , 2014
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 prov i ding excellent pub li c se rvi ce a nd sa fet y to all who live work and play in our vibrant tropical,historic community.
I I BEACH BO R A D AND COMMITTEE APPLICATION FORM
�I A
Last Name ^ j- n �{Firsst Name / id
Middle Initial
--Av�
Home Address City I State Zip Code
3of--196- 2?Y6 Mt.%Jc- 19 ,�ad ,cep
Home Telephone l Work Telephone Cellular Telep�hne�^ Email address
( o
Bus As Narne Occupation 33 t 3Y
(0 &.01- A.-1.1;0"%,L% FL
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/interes 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: Yes[:a or No
• Demonstrates ownership/interest in a business in Miami Beac or a minimum of six months: Yes Za or No
• Are you a registered voter in Miami Beach: Yes�_=l or No A A
• I am now a resident of: North Beach South Beach 1:1 Middle Beach
• I a applying for an appointment b cause I ave spe al abilities nowt dge y d experience. Please list below:
0+/� � � 5 t�a.v�'�S
•Are you presently a registered lobbyist with the City of Miami Beach? Yes 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 Parks and Recreation Facilities Board
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
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 Miami Beach Sister Cities Program
Gay,Lesbian,Bisexual and Transgender Normandy Shores Local Government
Enhancement Committee GLBT Neighborhood Improvement A/1(V 10 �r c
* 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 AJIA License Number
License Issuance Date License Expiration Date
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cO Note: If applying for Youth Center Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board. Yes No Dates of Service:
2. Present participation in Youth Center activities by your Ild n:Yes� No
If yes, please list below the names of your children, it e a d 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 ID or No If yes, please explain in detail:
• Do you currently have a violation(s)of City of Miami Beach Code?Yes 1-j or No If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money?Yes or No Ef If yes, explain in detail:
•Are you currently serving on any City Board or Committee?Yes or No If yes,which board/committee?
• In what organization(s i 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 ZI or No
Which department and title?
• Pursuant to City Code Section 2-25 (b): Do you have a parent �D, spouse IZI, child �D brother ID or sister�J 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 Female
Race/Ethnic Categories
What is your race?
[i frican-American/Black
4�1 Caucasian/White
r�I,Asian or Pacific Islander
—�
I4��I,1 Native-American/American Indian
�!1 Other–Print Race:
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Do you consider yourself to be Spanish, Hispanic or Latino/a?Mark the "No"box if not Spanish, Hispanic, Latino/a.
EN o
4�1 Yes
Do you consider yourself Physically Disabled?
No
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).
o 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 AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND
STATUTES ACCORDINGLY." y/n It,
Appl cant i na u ate f ame of Applicant(PLEASE PRINT)
Received in the City Clerk's Office by
Name of Deputy Clerk Control No. Date(
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.
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M]AIMVIBEACH
City of Miami Beach
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.m i a m i beac h fl.g ov
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(1) (2)
0 �aJ
Board Members Name. (�
I�
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 th.
�l3 �
Signature Date
Updated:Wednesday,April 09,2014
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