Robert M. Schwartz Application PackageMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
Last Name
Home Address
First Name
5ch 4> at2, 4 ea -
City State
(e3Go Rdc 144r k-ai, 6~4 1I
Cellular Telephone Email address
3�s 01J 57a a- 5 l e455e -- 6-14., I)
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Occypation . 1 g3 l q/
State Zip Code
Middle Initial
Yr 1
Zip Code
Home Telephone Work Telephone
30‘ 06 7 5'766
Business Name c -
?� l I `� - �[n r • (,'oo
Business Address
Professional License (describe):
vYhcr 66i."4
City
Expires:
Please attach a copy of currently effective professional license.
Pursuant to City Code section 2-22(4)a & b: Members of agencies, boards and committees shall be affiliated with the
City. This requirement shall be fulfilled in the following ways: a. An individual shall have been a resident of the City for
a minimum of six months; or b. An individual shall demonstrate ownership/interest for a minimum of six months in a
business established in the City for a minimum of six months.
• Resident of Miami Beach for a minimum of six (6) months: Yes NI or No
• Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: Yes fpor No
• Are you a registered voter in Miami Beach: Yes 4a or No Zi
• I am now a resident of: North Beach South Beach L Middle Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
Iotectl- vn d ged?5 r etigG t,�at 4 eti l fi►-t i ►MAOI el l+ 144,43w, h
P �1- ot.date 6,.( &atm) /b tea/ //s °.,tA lj /S,5%rr155 Ochil
• Are you presently a registered lobbyist with the City of Miami Beach? Yes or No
E4
Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that
only three (3) choices will be observed by the Office of the City Clerk.
0 Affordable Housing Advisory Committee
0 Art in Public Places Committee
0 Audit Committee
0 Board of Adjustment * *
0 Budget Advisory Committee
❑ Committee on the Homeless
0 Committee for Quality Education in MB
0 Convention Center Advisory Board
0 Cultural Arts Council
0 Design Review Board'
0 Disability Access Committee
0 Health Advisory Committee
0 Health Facilities Authority Board
0 Hispanic Affairs Committee
0 Historic Preservation Board*
0 Housing Authority
0 Human Rights Committee
0 LGBT Advisory Committee
▪ Marine & Waterfront �tec ion Authority
_ Re-„�oo,
O Miami Beach Commission for Women
❑ Normandy Shores Local Government
Neighborhood Improvement
0 Parks and Recreation Facilities Board °O
❑ Personnel Board
0 Planning Board**
0 Police Citizens Relations Committee
0 Production Industry Council
0 Sister Cities Program
0 Sustainability Committee
0 Transportation, Parking, & Bicycle -Pedestrian
Facilities Committee
0 Visitor and Convention Authority
0 Youth Commission
• Board members are required to file Form 1 — "Statement of Financial Interest” with the State.
* If you seek aPiter ion Board or to a professional
Planningseat
Board,lawyer,
attach aarchitect,
of your currently -effectively license,, and furnish Review
the
Boarrd, Historicic Preseryt
following information:
Type of Professional License
License Number
License Issuance Date License Expiration Date
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F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx
c° Note: If applying for the Youth Center positions of the Parks and Recr
Center:tions Facilities Board, please indicate your affiliation with
the Scott Rakow Youth Center and/or the North Shore Parks Youth
• Please describe your past service with the City's Youth Centers (include dates of service):
• Present participation in Youth Center activities by your children: Yes LD No
If yes, please list below the names of your children, their ages and the programs in which they participate:
Age: Program:
Child's name:
Age: Program:
Child's name:
• Have you ever been convicted of a felony? Yes LJ or No `4 If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach Code? Yes or No If yes, please explain in detail:
�
Yes � or No � If yes, explain in detail:
• Do you currently owe the City of Miami Beach any money.
• Are you currently serving on any City Board or Committee? Yes gl or No If yes, which board/committee?
• In what organization(s) in the City of Miami Beach do you currently holdmerrtpership?
!rt tDt�t y Position
Name
Position
Name
• List all properties owned or in wh ch you have nnanJJinterest wjthin the City of Miami Beach:
K-a ‘441 t
• Are you now employed by the City of Miami Beach? Yes or No
rigi
Which department and title?
• Pursuant to City Code Section 2-25 (b): Do you have a parent [D, spouse , child LD brother La or sister La who is
employed by the City of Miami Beach? Yes Zlor No
pi
If "Yes," identify person(s) and department(s): —
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for
appointment. It is being asked to comply with City diversity reporting requirements.
Gender: Male � Female
Race/Ethnic Categories
What is your race?
African-American/Black
r� Caucasian/White
4D Asian or Pacific Islander
Native-American/American Indian
Page 2 of 4
F.\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx
Other — Print Race:
you consider yourself to be Spanish, Hispanic or Latinola? Maris the "No" box if not Spanish, Hispanic, Latino/a.
D0 y
�No
Zi
Yes
Do you consider yourself Physically Disabled?
NI
No
Yes
NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW OCERTAIN LAWS THAT APPLY TO CITY BOARDICOMMITTEE
MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT TrLIMITE(Miami Beach City Code section 2-459).
o Prohibition from directly or indirectly lobbying City p Code section 2-11.1).
o Prohibition from contracting with the City (Miami -Dade County
o Prohibition from lobbying before the board/committee you have served on for period of one year after leaving office (Miami Beach
on
1.1).
o Requirement to disclose
certain
financial interests : Code l
City Code section 2-26). gifts
o CMB Community Development Advisory Committeeprohib i (Miami-Dadeenu County
dor one year after leaving office, from having
anyose with whom
interest in or receiving any benefit from Community Development Block Grant funds for either yourseef,Loa�hrega ding open
the Sunshine
you have business or Florida'sote family ties (CFR 5shi
o Sunshine Law -da's Government -in -the -Sunshine Law was enacted in 1967. Today,
ish a
sic
of
governmmost
ent can be found in Chap_ ter?86 of the Florida Statutes. of state and local gover merrtlal agenbcaes orlauthorltass ointo t dor
meetings of boards, commissions and other governing bodies
o Voting conflict — Form 8B is for useeby any person serving at the county, city or other local level of government on an
to members
elected board, council, commission, authority or committee. It
appli S equ ally Florid Statutes. of advisory and non -advisory bodies
who are presented with a voting conflict of interest underSection
Upon request, copies of these laws may be obtained from the City Clerk.
I HEREBY ATTESTANDO
TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED, READ AND
R
WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCTLAWS
CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY ANDIOR S
STATUTES ACCORDINGLY."
Applicant's Signature
Received in the Office of the City Clerk by:
rA311[co
Date
yN,o✓I
Name of Deputy Clerk
ben }' - j 14 wq 2 2"
Name of Applicant (PLEASE PRINT)
vCe...0Za/
/to t16
Control No.
«>/1
/'
Date
ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY
APPLICABLE PROFESSIONAL LICENSE.
ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED
INFORMATION.
Page 3 of 4
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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(1) (2)
Board Member's Name: V.QtJ'c(ZV 5_14 ` 14
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.
T-da"/11 l 31 /1,
Date
Signature
Updated: Tuesday, October 04, 2016
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ROBERT SCHWARTZ set mail.com
T 141* hone305-812-5722*Southbeachas @�
6360 Allison Road Miami Beach Florida 33 P
EDUCATION
University of Miami, Coral Gables ,Florida
Bachelor of Administration —
Gulliver Preparatory School
Coral Gables, Florida
1983
WORK EXPERIENCE
South Beach Asset Management- President
• Investments, Asset protection and allocation
Manageh fundamental and technical analysis
•
Analyze financial market throug
Partners Advantage -Associate• protect and grow clients assets
Provide variety of Insurance strategies to p
tailored for their individual needs.
Liza Schwartz Jewelry- Chief Operating Officer
Mutiny Hotel Valet Summers
ADDITIONAL INFORMATION
*Miami Beach Resident from 1988- Present
*Allison Island Homeowner Association Vice President from 1995-2013
Alhso
*Mount Sinai Young president
*Universityof Miami Association
*Jackson Memorial Hospital Active Participants
1979
1989- present
2005 -present
2013 -present
1980-1983