Mercedes Carlson 12/31/2018MIAMIBEACH
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
Email CityClerk@miamibeach.gov
November 15, 2016
Ms. Mercedes Carlson
5120 Lakeview Drive
Miami Beach, Florida 33140
SUBJECT: Miami Beach Commission For Women
Congratulations! You have been reappointed by Commissioner Michael Grieco to the above
referenced, board or committee named above, for a term ending: 12/31/2018.
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 and good luck.
Regards,
Rafael Granado
City Clerk
cc: Saul Frances, Parking Director
David Zaret, 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 Ordinance
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.miainibeachfl.aov
OFFICE OF THE CITY CLERK, Rafael Granado, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
TO: Ms. Mercedes Carlson
RE: Miami Beach Commission For Women
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: 12/31/2018.
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.
l(11
Ms. Mercedes Carlson
Sworn to and subscribed before me this Zx d day of )e C , 2016.
Ramon Quezada
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.
MIAMI BEACH
Name:
DIVERSITY STATISTICS REPORTING
Board / Committee: U1aA44- 6 ► rrti tS St Z5-?
Appointment Date: L l 6/0
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: Male P Female
Race/Ethnic Categories
What is your race?
frican-American/Black
Caucasian/White
P Asian or Pacific Islander
P Native-American/American Indian
P Other — Print Race:
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not
Spanish, Hispanic, Latino/a.
'Yes
Do you,consider yourself Physically Disabled?
No
D Yes
C:\Users\CENTFraN\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\NP4J9CNX\6C minority
information form 05-20-13 FINAL.doc
Updated: Monday, January 26, 2015
CA MIAMIBEACH
NAME: Carlson
Mercedes
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
Last Name
First Name Middle Initial
HOME ADDRESS: 5120 Lakeview Drive Miami Beach
Florida 33140
Apt No. Home No./Street
PHONE: (305) 864-1646
City
State Zip Code
mercedescarlson@mac.com
Home
Business Name: N/A
Address: N/A
Work
Position
N/A
Email Address
Retired
N/A
N/A
Street
City
State
Zip Code
Pursuant to City Code section 2-22(4) a and 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.
• Resident of Miami Beach for a minimum of six (6) months Yes
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No
• Are you a registered voter in Miami Beach: Yes
• (Please circle one): I am now a resident of: Middle Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
• Are you presently a registered lobbyist with the City of Miami Beach? No
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 City Clerk's Office. (Regular Boards of City)
Choice 1: Miami Beach Commission For Women
Choice 2:
Choice 3:
Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board: No
Years of Service:
2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their
ages, and which programs. List below:
Child Name
Age Program
• Have you ever been convicted of a felony: No If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: 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:
• Are you currently serving on any City Boards or Committees: No If yes, which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
Property
5120 Lakeview Drive
• I am now employed by the city of Miami Beach: No Which department?
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 federal equal opportunity reporting requirements.
Gender: Female
Race/Ethnic Categories
What is your race? Mark one or more races to indicate what you consider yourself to be. White
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. Yes
Physically Challenged: No
NOTE: If appointed, you will be required to follow certain laws which apply to city board/committee members.
These laws include, but are not limited to, the following:
o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).
o Prohibition from contracting with the city (Miami -Dade County Code section 2-11.1).
o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami
Beach Code section 2-26).
o Requirement to disclose certain financial interests and gifts (Miami -Dade County Code section 2-11.1).
(re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,
from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself,
or those with whom you have business or immediate family ties (CFR 570.611).
Upon request, copies of these laws may be obtained from the City Clerk.
"1 hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article
VII — of the City Code "Standards of Conduct for City Officers, Employees and Agency Members."
I Mercedes Carlson agreed to the following terms on
Received in the City Clerk's Office by:
i� e Cie Lk, z4
Name of Deputy Clerk
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Control No.
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Date
Vercedes Car
5120 Lakeview Drive
Miami Beach, FL 33140
T 305-864-1646
M 786-200-3536
mercedescarlson@mac com
so
Profile
Successful Executive professional with 20 years of experience within the Techni-
cal and Customer Service disciplines. My career encompassed the matriculation
through various organizations from a Telephone Administrator to a District Sales
Manager for the South Florida and Caribbean Region. As a Marketing Communi-
cations Specialist I principally researched planned and managed meeting re-
quirements for the Marketing and Sales Organizations of the Latam Division. I
was the Owner and President for a Meeting Consultants company. Currently I am
ma private investor who seeks out and analyses business opportunities where my
expertise is utilized in making a small to medium business prosper in these chal-
lenging times. Fully literate in Spanish, English, and Portuguese with some
knowledge of French - These attributes help me understand the different cultures
that encompass our City.
Experience
Varig Airlines, Miami, Florida - South Florida and Caribbean Regions
District Sales Manager -1974 -1997
• Telephone Operator/Secretary
o Managed calls for the entire office while ensuring all travel was
necessary and cost effective.
o Managed all scheduling for the Executives of the office
• District Sales Manager
o Ensured all staff was alert in managing the critical issues for
their customers.
o Managed the career development for the staff
o Coached and counseled all my District staff to ensure they were
aware of their customers' business issues and how they could
help resolve them.
5120 Lakeview Drive
Miami Beach, FL 33140
T 305-864-1646
M 786-200-3536
m eacar aon®iliac.oQm
Ericsson, Inc., Miami, Florida — Latin American Region
Marketing Communications Manager —1997 -1998
• Managed varied aspects of the operational issues for the Marketing and
Sales Departments.
Principally researched, planned and managed the meeting requirements
for the Organizations of the Latam Division which included the offices
within Latin America.
Single contributor who managed all aspects of the position from incep-
tion through implementation.
Meetings Consultants, Miami, Florida
Owner and President —1998 — 2000
• Managed all facets of the business to ensure it remained on track and
met the needs and requirements of my customers.
• Ensured any scheduled meeting was effectively implemented within the
stated budgetary requirements.
Education
Barry University - Miami Shores, Florida
Master of Science - Major in Human Resource Development
Referrals
Available upon request
1
9 )
ANL' BEACH
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: /--I‘ C e6a �l5-6),03
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.
l
Signatulre
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Updated: Monday, April 20, 2015
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