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Richard Hull 12.31.2016 I 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 January 12, 2016 Mr. Richard Hull 1015 Shore Lane Miami Beach , Florida 33141 SUBJECT: Police/Citizens Relations Committee • Dear Mr. Richard Hull: Congratulations!You have been appointed by Commissioner John Aleman 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, Rafael Granado City Clerk cc: Saul Frances, Parking Director Chief Daniel Oates, 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.00v OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk Tel:(305)673-7411,Fax:(305)673-7254 • TO: Mr. Richard Hull RE: Police/Citizens Relations Committee 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 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. C, Mr. Richard Hull Sworn to and subscribed before me this 13 day of 3f■r , 2016 Deputy Clerk flovvvt,y/ *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. MIAMIDaDE SOURCE OF INCOME STATEMENT Disclosure for Tax Year Ending Last Name First Name Middle Rame/Initial 2014 N f� Mailing Address—Street Number,Street Name,or P.O.Box 0 ‘C S I.10 (j\rJ C City,State,Zip ID Number j\-A1 r-^-5-_ • 6C ix c-kA CL- 33IkA If your home address is your mailing address, and your home address is exempt from public records pursuant to Ha.Stat.§119.07,read instructions on the following page and check here.— Filing a�an Et:�pidyee County Employee 7 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: Pr d 6.04, Board where serving o f/ C G et/f z e0 5 01/5 ad77 ,r7(� Work address Work telephone !Term began on I I List below every source of income you received,alono 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 I Description of the Principal Business'Activity SEt_r G •'■Pt_o—i6Q I o I( S}1-o11-.0 G FTr' /--‘,AlL.t4.6 i 1,1c, tAk PL4 1-1029 i I hereby swear(or affirm)that the information above is a true and correct statement. RECEIIFD BY ELECTIONS DEPARTMENT: �..--- ❑ Hardcopy Electronic Copy Signature of person disclosing Print name Date signed OFFICE USE ONLY Accepted: Y I' N Deficiency: Processed- tei l 1 lU als: Scanned Date/I icls: 13S S?-14 2113 CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM HullRichard NAME: First Name Last Name Middle Initial FL33141 HOME ADDRESS : 1015 Shore LaneMiami Beach Home No./StreetState Apt No.City Zip Code rh@maplehurstcapital.com 9178383991 PHONE : WorkEmail Address HomeFax Managing Partner Business Name: Maplehurst Investment Group LLC Position: Miami BeachFL 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 No Yes No circle one): I am now a resident of: North Beach Please see attached resume 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 Clerk’s Office. (Regular Boards of City) Choice 1:Committee for Quality Education in MB Choice 2: Choice 3: 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 Normandy Shores Homeowners AssociationPresident List all properties owned or have an interest in, which are loca Property 1015 Shgore Lane 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 Richard Hull agreed to the following terms on 1/14/2015 12:56: Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date Richard Hull 1015 Shore Lane Miami Beach, FL 917.838.3881 Fax: 615.634.9328 E-Mail: rh@maplehurstcapital.com Objective To be considered for a position on the Quality of Education Committee so that I may lend my contacts and skill-set to benefit the City of Miami Beach and its citizens. As a businessman and father of two, I am fully dedicated to our childrens future and to ensuring they have every possible opportunity available to them to ensure their suc Experience Maplehurst Investment Group, LLC. (Miami Beach, FL) 2003 - Present Founding Partner and Managing Member. Maplehurst is a multifacet investment, consulting and financial marketing firm. Clients are global, sector agnostic small to mid Cap companies listed on US Exchan Global Investment Group, Inc. (Riyadh, Kingdom of Saudi Arabia) June 2013 - Present Managing Partner, Head of Investor Relations Global Client Divis Cortronix Biomedical Advancement Technologies, Inc. (Doral FL) September 2014 - Present President and CEO  Cortronix is a developer and manufacturer of robust, high quality telemedical devices used in hospitals and medical research centers worldwide. American Capital Ventures, Inc. (Aventura FL) 2005 - 2012 Managing Director  Investor relations firm Defiance Capital, LLC (New York City, NY) 2000 - 2002 Chief Operating Officer  Long Short Hedge Fund Manager focusing on Small Cap, Underfollow America Education Concordia University 2000 - 2002 Anthropology and Business Accounting Dawson College 1998 - 2000 DEC  Social Sciences and Business accounting Skills Very strong interpersonal skills with an eye for detail. Highly energetic, focused entrepreneur and problem solver whose job it is to fix impossible situations. '� i � � 1 ;f� - un �. t� � ��.g �. r City of Miami Beach - 1700 Convention Center Drive, Miami Beach, Florida 33139, www.m iamibeachfl.aov 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: i ari . a 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, 1 700 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: htto://www.miamidade.00v/elections/Library/source of income statement.odf 2. A "Statement of Financial Interests (Form 1)" For your convenience, the form is attached. The form can also be downloaded at: htto://www.ethics.state.fl.us/ethics/forms.html 3. A Copy of your 2013 Federal Income Tax Return Failure to fife 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. --. --LA---------- 3Ml 13 2O( Signature Date Updated:Wednesday,April 09, 2014 Page 4 of 4 F:\CLER\SALL\aFORMS1SOARD AND COMMITTEES\EC APPLICATION REVISED.docx M I AM I 4\C - :^ DIVERSITY STATISTICS REPORTING Name: i (01 a _v-rgt Fii,l I / ._ / Committee: ilI�1 Board / Com � 1Fs Appointment Date: 1 i z Pursuant to City of Miami each 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: Malemale Li Race/Ethnic Categories What is your race? Pfirican-American/Black Caucasian/White 0 Asian or Pacific Islander • Z/1 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. -ZNo D Yes . Do you consider yourself Physically Disabled? No EJ 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