Michael Barrineau 12.31.2017 MAM1BEACH
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
December 22, 2015
Michael Barrineau
110 Washington Avenue#1613
Miami Beach, Florida 33139
SUBJECT: Personnel Board
Dear Michael Barrineau:
Congratulations!You have been appointed by the City Commission to the agency, board or committee
named above for a term ending: 12/31/2017.
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
afael Granado
City Clerk
cc: Saul Frances, Parking Director
Sylvia Crespo-Tabak, 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.
MIAMI 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
TO: Michael Barrineau
RE: Personnel 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 I have been appointed for a
term ending: 12/31/2017.
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.
Michael Barrineau
41 ft— /JNvvv'Y Sworn to and subscribed before me this da of , 2014i
10P"
m L
GC 4•
kJare-La-Resa-, n , (�fur
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.
COUNTY ADE
CcuNr�r SOURCE OF INCOME STATEMENT
Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial
2014 ri. I
Mailing Address®Stree Number,S eet Name,or P.D.Box
t ,
City,State,Z.I _ ID Number
ICAA I�� ' ��L 31,3'
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
E County Board Member Municipal Board Member, Name of Municipality: C • 4- 462_Gv
Board where serving r fl
Pee Svhhe— • PJocrrc�'
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.
Name of Source of Income Address Description of the Principal Business Activity
X11 ii(44 V P t g 1 j._ • . !_, teatE .,, ,,
-e. to 1 1)3131.
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
Signature of person disclosing
r,6
Print name Date sign d
OFFICE USE ONLY Accepted: Y r N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138 SP-14 2/13
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
BarrineauMichaelD
NAME:
First Name
Last Name
Middle Initial
Florida33139
HOME ADDRESS
:
110 Washington Avenue #1613Miami Beach
Home No./StreetState
Apt No.City
Zip Code
michael.barrineau@gmail.com
305.588.4600305.588.4600
PHONE
:
WorkEmail Address
Home
Realtor
Business Name:
MB Luxury Properties
Position:
1680 Meridian Avenue Ste 101
Miami BeachFlorida33139
Address:
State
CityZip Code
Street
Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated
requirement shall be fulfilled in the following ways: a) an indi
months; or b) an individual shall demonstrate ownership/interest
Yes
Yes
Yes
circle one): I am now a resident of: South Beach
Former business owner, current condo association board member an
No
123Please note that only three (3)
Please list your preferences in order of ranking [] first choice [] second choice, and [] third choice.
choices will be observed by the City Clerks Office.
(Regular Boards of City)
Choice 1:Personnel Board
Choice 2:Historic Preservation Board
Choice 3:
Design Review Board
Note: If applying for Youth Advisory Board, please indicate your aff
1. Past service on the Youth Center Advisory Board:
No
Years of Service:
if yes, please list the names of your children, their
No
2. Present participation in Youth Center activities by your chil
ages, and which programs. List below:
No
Have you ever been convicted of a felony:If yes, please explain in detail:
Do you currently have a violation(s) of City of Miami Beach code No If yes, please explain in detail:
Do you currently owe the City of Miami Beach any money:No If yes, please explain in detail:
No
Are you currently serving on any City Boards or Committees:If yes, which board?
What organizations in the City of Miami Beach do you currently h
NameTitle
South of Fifth Neighborhood Assn.Board Member, President
List all properties owned or have an interest in, which are loca
Property
110 Washington Avenue #1613, Miami Beach, FL 33139
No
I am now employed by the city of Miami Beach:Which department?
The following information is voluntary and is neither part of yo
being asked to comply with federal equal opportunity reporting r
Gender:Male
Race/Ethnic Categories
What is your race?
Mark one or more races to indicate what you consider yourself t White
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spani No
Physically Challenged:No
NOTE: If appointed, you will be required to follow certain laws which
These laws include, but are not limited to, the following:
Prohibition from directly or indirectly lobbying city personnel
o
Prohibition from contracting with the city (Miami-Dade County Co
o
Prohibition from lobbying before board/committee you have served
o
Beach Code section 2-26).
Requirement to disclose certain financial interests and gifts (M
o
(re: CMB Community Development Advisory Committee): prohibiti
from having any interest in or receiving any benefit from Co
or those with whom you have business or immediate family ties
Upon request, copies of these laws may be obtained from the
I hereby attest to the accuracy and truthfulness of the applica
VII of the City Code Standards of Conduct for City Officers,
I Michael Barrineau agreed to the following terms on 12/15/2015
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No.Date
t\/\ AIY\ y U3EACH
City of Miami Beach
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miarnibeachfl.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: 01 c=L,a d f rd' , k) €° 4,0
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.
Signature Date
Updated:Wednesday,April 09,2014
Page 4 of 4
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED.docx
m Am BEAtr ,,
DIVERSITY STATISTICS REPORTING
Name: Onct a rt., I inea,o
Board / Committee. (par Goo in
Appointment Date: Z 2 Z /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 6.74 Female
Race/Ethnic Categories
What is your race?
Ui African-American/Black
[41-1-1 Caucasian/White
-J Asian or Pacific Islander
Native-American/American Indian
Other— Print Race:
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No"box if not
Spanish, Hispanic, Latino/a.
IZC-No
Ui Yes
Do you consider yourself Physically Disabled?
±2 No
1 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