Andres Asion Minority Report MIAMI BEACH
DIVERSITY STATISTICS REPORTING
Name: gndres O ,iov
• pif/on deib • a rd Board / Committee. � � .
Appointment Date: i Z /7 /5-
Pursuant to City of Miami Beach Ordinance 2009-3632, the City is required to annually
prepare and present a report to the City Commission identifying the City's diversity
statistics. This form allows board and committee applicants and members to voluntarily
self-identify their race, ethnicity, disabled status and gender.
Please check the appropriate box for each category:
Gender: Male Female Ui
Race/Ethnic Categories
What is your race?
African-American/Black
Caucasian/White
Asian or Pacific Islander
I N tive-American/American Indian
1.10ther— Print Race: \«Ar•;(--
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No"box if not
Spanish, Hispanic, Latino/a.
N
LI Yes •
Do you consider yourself Physically Disabled?
No
Yes
•
C:\Users\CENTFraN\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\NP4J9CNX\BC minority
information form 05-20-13 FINAL.doc
Updated: Monday,January 26,2015