Robert Gonzalez 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
Mr. Robert Gonzalez
2121 Lake Avenue
Miami Beach, FL 33140
SUBJECT: Parks and Recreational Facilities Board
Congratulations! You have been reappointed by Commissioner Ricky Arriola 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 ranado
City Clerk
cc: Saul Frances, Parking Director
Cynthia Casanova, 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.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael Granado, City Clerk
Tel: (305) 673-74.11, Fax: (305) 673-7254
Email CityClerk@miamibeach.gov
TO: Mr. Robert Gonzalez
RE: Parks and Recreational Facilities 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: 12/31/2018.
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.
Sworn to and subscribed before me this `6 day of Dec. , 2016.
RamonQ ada
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.
al MIAMIBEACH
NAME: Gonzalez Robert
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
Last Name
First Name Middle Initial
HOME ADDRESS: 2121 Lake Avenue Miami Beach
FL 33140
Apt No. Home No./Street
PHONE: 305-218-1772 305-884-0700
City
State Zip Code
rgonzalez@printmedia-inc.com
Home
Business Name: Print Media, Inc.
Work
Address: 9002 NW 105th Way
Position: Chief Executive Officer
Medley
Email Address
FL
33178
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: South Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
Interest in our Parks and Recreation
• 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: Parks and Recreational Facilities Board
Choice 2: Committee on the Homeless
Choice 3: LGBT Advisory Committee
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:
• 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: Yes If yes, which board?
Parks and Recreational Facilities 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
2121 Lake Avenue, Miami Veach, FL 33140
• 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: Male
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.
"I 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 Robert Gonzalez agreed to the following terms on 11/11/2016 9:04:59 AM
Received in the City Clerk's Office by:
Name of Deputy Clerk
Control No. Date
ROBERT GONZALEZ III
2121 Lake Avenue • Miami Beach, FL 33140
Mobile: (305) 218-1772 • Email: rgonzalez@printmedia-inc.com
SENIOR MANAGEMENT EXECUTIVE
CEO / COO / PRESIDENT
Senior executive with verifiable year -after -year success achieving revenue, profit, and business growth
objectives within start-up, turnaround, and rapid -change environments. Extensive experience in the complex
and dynamic global healthcare supply chain, which requires a deep understanding of critical business drivers.
Highly successful in building relationships with upper-level decision makers, seizing control of critical
problem areas, and delivering on commitments. Extensive business background in international, multi-
cultural environments.
EXPERIENCE RELEVANT TO PARKS & RECREATION
❖ Board experience in professional and community environments; excels at identifying goals and
achieving consensus on steps to address and overcome obstacles.
• HEALTHCARE SUPPLIER DIVERSITY ALLIANCE (HSDA)
Serves on Board of Directors, 2007 to present.
• SUNSET ISLANDS 3 & 4 HOMEOWNERS ASSOCIATION
Serves on Board of Directors, 2014 to present.
❖ Miami Beach resident since childhood; uses and recognizes the importance of parks and
recreation facilities in the community.
❖ Physical activity and fitness are important aspects of lifestyle; since serving in the United States
Marine Corps, has enjoyed competitive running, ranging from 5ks to marathons.
PROFESSIONAL EXPERIENCE
❖ PRINT MEDIA CORPORATION
MEDLEY, FL, 1993 — Present
Manufacturer of reliable and high performance media to fit component printers in mission -critical equipment.
• FOUNDER, PRESIDENT, AND CHIEF EXECUTIVE OFFICER
1993 — Present
Built a startup from rero to 45% U.S. market share.
• HONORS & AWARDS
• Hispanic Business Magazine's Entrepreneur of the Year Award Nominee, 2009
MILITARY SERVICE
❖ UNITED STATES MARINE CORPS.
• 4th AIR NAVAL LIASON COMPANY (ANGLICO)
1988 — 1994
Cross trained as a forward observer, radio operator, and parachutist; rose to the rank of sergeant and team chief
of four to five men; controlled air and fire support assets in support of joint, allied, coalition, and special
operations forces.
• INDIVIDUAL READY RESERVE (IRR)
1994 — 1996
• HONORS & AWARDS
• Navy & Marine Corps Achievement Medal
• Navy Unit Commendation
• Navy Meritorious Unit Commendation
• Selected Marine Corps Reserve Medal
• National Defense Service Medal
• Naval Parachutist Badge
• Rifle Expert Badge
• Secret Clearance
• Administrative Honorable Discharge
COMMUNITY SERVICE
❖ SMALL BUSINESS ASSISTSANCE & SUPPLIER DIVERSITY ADVOCACY;
Volunteers with goal -oriented minority students and small business start-ups, providing education, advice, tools,
techniques, and networking opportunities to improve their operations, gain more customers, accelerate growth, and
ultimately contribute to the future of South Florida's workforce and community.
• ORGANIZATIONS
• HEALTHCARE SUPPLIER DIVERSITY ALLIANCE (HSDA)
Serves on Board of Directors, 2007 to present.
• SOUTHERN FLORIDA MINORITY SUPPLIER DEVELOPMENT COUNCIL
(SFMSDC)
Member since 2002
• HONORS & AWARDS
• SFMSDC Crystal Award, 2112
• Novation Diversity Award, 2012
• Premier Diversity Award, 2011 and 2015
\AIAI\'\ B EAC H
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 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.
Updated: Monday, April 20, 2015
Page 4of4
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
t `Z
MIAMI BEACH
DIVERSITY STATISTICS REPORTING
Name: o or r Gan rju-
Board / Committee: Pa rK-S avidge 0 r\Qa JLo�%, a/ ! Oi Isles
Appointment Date: it 16- / 0
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 LD
Race/Ethnic Categories
What is your race?
African-American/Black
aucasian/White
Asian or Pacific Islander
Native-American/Americ n Indian
'Other — Print Race: % S )C^ -r C_
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not
Spanish, Hispanic, Latino/a.
No
Yes
Do you consider yourself Physically Disabled?
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