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Ellen Marchman 12.31.2016 l 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 October 20, 2015 Ellen Marchman 1450 Lincoln Road#309 Miami Beach, FL 33139 SUBJECT: Production Industry Council Dear Ellen Marchman: Congratulations!You have been appointed by Commissioner Joy Malakoff to the agency, board or committee named above for a term ending: 12/31/2016. Pursuant to City of Miami Beach Code Section 2-22 (5)a,"Notwithstanding any other provision of the City Code or of any resolution, commencing with terms beginning on or after January 1, 2007, the term of every board member who is directly appointed by a member of the City Commission shall automatically expire upon the latter of: December 31 of the year the appointing City Commissioner leaves office or upon the appointment/election of the successor City Commission member." 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. Regards, ae ra a.. Ar City Clerk cc: Saul Frances, Parking Director Graham Winick, City Liaison 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 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. • MIAMIBEACH 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: Ellen Marchman RE: Production Industry Council 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: 12/31/2016: _ • I have been issued a=copyof 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. n i 4 1;!ti E en Marchman Sworn to and subscribed before me this o) day of , 2015. Clara La Rosa :.. 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. M IAM!DADE SOURCE�00ny��U� ~~ ^`~ OF INCOME STATEMENT ^~ ^^^~~^` Disclosure for Tax Year Ending La t Name First Name Middle Name/Initial 2014 m� �� _L __a^� `^~ &42 m^ Mailing Address—Stree Number,wumuontra Box -- Scb Ii~^~^ ZsZ•Q_�� "' ID Number j,-. �� «`~ ,—~~ -�_^ ==C ~ , `u`�`~~u ` If your home address is your mailing addraaa,and your home address is exempt from public records pursuant to Fla. Stat.§119.07,read instructions on the following page and check horo.�� --' '—��D��'�m��l �e— ~----~- --- —'~--~_ ~—~--------'--'----'-------~'~'^--- --~--~'— 0 County Employee �p��uniulpo| Emp|oyeo. NamaofK8unlu^ o|�y: '�.._ N 0 v.cp Position held or sought Department where employed Work address Work telephone Term began on Filing as a Board Member Ibk ~ ' � County Board Member Municipal Board Member, Name of KunicipoUty: k. .m �\& .L.__—%,, Board where serving Work address Work telephone Term began on ==- ,� �' �J�*~ We) r�.�=��c�� "�� `�u��/~��" ��- ` - , 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.A|on, 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 aheet,check hem.: Name of Source of Income Address Description of the Principal Business Activity ~�--_ L � y�p ‘t » - 11 w « * � I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: 0Hardcopy \: ( ?A; Ajc:;:;;::;:;::::::::=$__ Electronic Copy Si.-� ~ ure Au,—~ p *,' `~ ~ — ic). ^ Print name Date signed , OFFICE USE ONLY Accepted: Y / N Deficiency: pmcesy,uootexnmam: Scanned Date/Initials: 138_SP-14 2/13 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: P 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. 61114c a_e.\J 14 IA-I IC Signature Date Updated:Wednesday,April 09,2014 Page4of4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED.docx