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Lindsay Genet 12.31.2016 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.ciov OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk Tel:(305)673-7411,Fax:(305)673-7254 1/9/2015 Lindsay Genet 4310 North Michigan Ave. Miami Beach, Florida 33140 SU;BJECf J Miami Beach Commission For Women Congratulations! You have been reappointed by Commissioner Michael Grieco to the above referenced agency, board or committee for a term ending: 12/31/2016. If you are unable to accept this appointment, please notify the City Clerk's Office at (305) 673-7411. Please read the enclosed material carefully. Again, congratulations and good luck. Sincerely, Ra ael E. ranado City Clerk cc: Saul Frances, Parking Director Leonor Hernandez 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, 2-2458, 2-459 Ordinance 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 Employees We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community. • MIANIFQADE SOURCE OF INCOME STATEMENT COUNTY Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial 2013 �o e v► e- •1-1 'l a 641 • Mailing Address—Street Number,Street Name,or P.D.Box Li30 J )ov Htt - 7 -- City,State,Zip ID Number )44(50"1- ; &c,tCit 331. V. 0 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 - • ----/fei‘ . , ❑ County Board Member Alchinicipal Board Member,Name of Municipality: /42/7/Board where serving , /fAili//. /gge� aef,,,,,, (.0.1) 600E 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.0 Name of Source of Income Address Description of the Principal Business Activity • I hereby swear(or a rm)that the in orm.;'Ion above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: lkji ❑ Hardcopy ❑ Electronic Copy .`llllr . cure of per on disclosing h, sisipi G-e)fle ---- Print name Dat signed OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138 SP-14 2/13 I MIAMI i t . 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) . ac--,Board Member's Name: 1/%-/ a 6 eri e.,4- - 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 gays in jail or bo . 411(li A r �. 1 ( / S Signature• Date Updated:Wednesday,April 09,2014 Page 4 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED.docx I