Beverly Heller 06.30.2016 MIAMI to 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
August 20, 2015
Ms. Beverly Heller
5916 La Gorce Drive
Miami Beach, FL 33140
SUBJECT: Committee for Quality Education in MB
Congratulations! You have been appointed as a Representative of the PTA for North
Beach Elementary to the agency, board or committee named above for a term ending:
06/30/2016. •
If you are unable to accept this appointment or have any questions, please call the
Office of the City Clerk at 305-673-7411. Please read the enclosed materials carefully.
Congratulations again and good luck!
Sincerely,
Rafael Granado
City Clerk •
cc: Saul Frances, Parking Director
Leslie Rosenfeld, City Liaison
We-arecommitted-to-providing excellent-public service and safety to all who live, work and play in our vibrant,tropical,historic community.
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1915•2015
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.741 1, Fax: 305.673.7254
Email: CityClerk @miamibeachfl.gov
TO: Beverly Heller
RE: Committee for Quality Education in Miami Beach
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 one-year term ending 6/30/2016.
I have been issued a copy of Section 2-11.1 of the Miami-Dade County Code (Conflict of 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 Employees, 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 1, following the closing of the calendar year on which I have
served.
e • • I 0
Beverly Heller
Sworn to and subscribed before me this day of OW q , 2015.
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 Requirement.
I
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
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: -e,\(\\* \-Q-K2-
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"
2. A "Statement of Financial Interests (Form 1)"
3. A Copy of your latest 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.
&;?"-- '2,9 I S
Signature Date
Updated:Friday,June 05,2015
Page 4 of 4
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