Jean-Francois Lejeune 12.31.2014 l r� I/A,.( JA1 1 BEACH
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
Email CityClerk @miamibeach.gov -
2/11/2013
Jean-Francois Lejeune
20 Island Avenue # 302
Miami Beach, Florida 33139
SUBJECT tOBJECT,E4'ij Planning Board,
Congratulations! You have been reappointed by the City Commission to the above
referenced agency, board or committee for a term ending: 12/31/2014.
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,
Rafael E. Granado
City Clerk
cc: Saul Frances, Parking Director
Katia Hirsh
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.
MIAMI BEACH •
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: Jean-Francois Lejeune
RE: Planning Board
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: 12/31/2014.
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 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.
":/ 411_ .‘
-an-Francois jeune
4%eh °
`'`'�
Sworn to and subscribed before me this day , 2013
/ • /
Silvia Prieto r.-J -
Deputy Clerk -!iT
L
•
•
tea»
*Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Cler-k/Borfi and
Committees for additional information regarding the Financial Disclosure Requirements. cx
•
•
We are committed to rovidin ubl fq service ana s e to 11 whp live, work n play in o, r yr rant tr ical.historic community.
We cire committed to proviing excellent public service;and so ety/0 all live, Work.and p o' 0 Our vioc nt tropir:oPnistotic,community. ry
F .
MIA M I•DADE
SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
- ��f/V eU 1 S Name: 1 /-Ai � Ending:2.. /
Mailing Address:
City/State/Zip:
SociaLSeettrits m er:
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving: Aft7 0,4ep Term or Employment
Began on: / / 3
Department where employed:
Work Address:
If your home address is exempt from public records pursuant to
Florida Statutes§119.07 please check here(read instructions): 0 Work Telephone:
Home Address:
Street Address
City State Zip Code
Please list below in descending order with the largest source first, the name, address and
principal business activity of every source of your income including public salary you
received or any person received for your benefit or use during the disclosure period. The
income of your spouse or any business partner need not be disclosed. If continued on a
separate sheet,check here: El
Description of the Principal
Name of Source of Income Address Business Activity
1 �r dam' / 2L iC .-rl�..� O.lo1 /Q
fLr A pe rt�c
I hereby sw::r C. affirm)that the aforesaid information is a true and correct statement.
/ 111
Signature irr • 'closing Dat signed
BEACH
MIAM
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.gov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.7411 , Fax. 305.673.7254
Acknowledgement of fines/suspension for Board Mem hers for failure
to comply with Miami-Dade County Financial Disclosure Code Provision
Code Section 2-11.1(1) .(2)
Board Member name: JE/1-4\'- 41116))s- • kE`o/.1/Z- -
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 Disclosure Requirements, This means thatthe
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 you may have..been
recently appointed.
You must file one ofthefollowing with the City Clerk of Miami Beach, 17.00 Convention
Center.Drive, Miami Beach, Florida,by July 1 each:year..
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
• exceed
Provision, Section 1-5 may subject the person or firm to a fine not to excee
.$500.00 or by imprisonment in the county jail for a period not to exceed sixty
days, or both.
I p,f Pe A
Signature: 1 Date: