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Al Feola 12/31/2018MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.Qov OFFICE OF THE CITY CLERK, Rafael Granado, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 January 09, 2017 Mr. Al Feola 220 W. Rivo Alto Dr. Miami Beach, Florida 33139 SUBJECT: Transportation, Parking, Bicycle -Pedestrian Facilities Committee Congratulations! You have been reappointed by virtue of you being a Representative for the Ocean Drive Association, 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 ran do City Clerk cc: Saul Frances, Parking Director Saul Frances, 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. MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.ciov OFFICE OF THE CITY CLERK, Rafael Granath), City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 TO: Mr. Al Feola RE: Transportation, Parking, Bicycle -Pedestrian Facilities 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: 12/31/2018. 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 Mr. Al Feola day of.,-eit/. , 2017. Jason Salvatore 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. (IA MIAMIBEACH NAME: Feola Al CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Last Name First Name Middle Initial HOME ADDRESS: 220 W. Rivo Alto Dr. Miami Beach Florida 33139 Apt No. Home No./Street PHONE: (305) 673-1077 (305) 531-9478 City State Zip Code ohfeorealty@the_beach.net Home Business Name: Ohfeo Realty Corp. Work Address: 760 Ocean Drive Email Address Position: Owner Miami Beach Florida 33139 - 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: Yes • 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: Served on Personnel Board Last 2 years • 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: Choice 2: Choice 3: • Board members are required to file Form 1 — "Statement of Financial Interest" with the State. If you seek appointment to a professional seat (e.g., lawyer, architect, etc.) on the Board of Adjustment, Design Review Board, Historic Preservation Board or Planning Board, attach a copy of your currently -effectively license, and furnish the following information: Type of Professional License License Number License Issuance Date License Expiration Date 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? • I am now employed by the city of Miami Beach: No Which department? • List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 760 Ocean Drive 220 W. Rivo Alto Dr. Gender: Male 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. 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. No 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 Al Feola agreed to the following terms on 3/15/2007 Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Eg3 MIAMIBEi-CJ NAME: /'f DC/p CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM drG Last Name First Name Middle Initial HOME ADDRESS: 0102 0 4> , fid d'Cjd . '- Apt No. p House No./Street City State Zip Code PHONE: Yo(-:-1-J?7 -J i 1 Home Work Fax Email address Business Name: v*A"Position: Address: e.6-47 Street City State Zip Code Professional License (describe) Expires: Attach a copy of the license 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 fora minimum of six months in a business established in the city. • Resident of Miami Beach for a minimum of six (6) months: Yes P'or No ❑ • Demonstrate an ownership/interest in a business in rami Beach for a minimum of six (6) months: Yes or No 0 • Are you a registered voter in Miami Beach: Yes ®'or No ❑ • (Please circle one): I am now a resident of: North Beach '. outh B - . Middle Beach • I am applying for an appointment because I have special abilities, know edge and experience. Please list below: • Are you presently a registered lobbyist with the City of Miami Beach? Yes ❑ or No B' 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) 0 Affordable Housing Advisory Committee 0 Marine Authority ❑ Art in Public Places Committee 0 Miami Beach Commission for Women 0 Beautification Committee 0 Miami Beach Cultural Arts Council ❑ Board of Adjustment* 0 Miami Beach Human RI. hts Committee ❑ Budget Advisory Committee ❑Miami Beach Sister Cities Program 0 Capital Improvements Projects Oversight Committee 0 Normandy Shores Local Government Neigh. Improvement ❑ Committee on the Homeless 0 Parks and Recreation Facilities Board 0 Committee for Quality Education in MB 0 Personnel Board 0 Community Development Advisory 0 Planning Board* 0 Community Relations Board 0 Police Citizens Relations Committee 0 Convention Center Advisory Board 0 Production Industry Council 0 Debarment Committee 0 Public Safety Advisory Committee ❑ Design Review Board* 0 Safety Committee 0 Disability Access Committee 0 Single Family Residential Review Panel 0 Fine Arts Board 0 Sustainability Committee 0 Gay, Lesbian, Bisexual and Transgender (GLBT) Vtransportation and Parking Committee ❑ Golf Advisory Committee 0 Visitor and Convention Authority 0 Health Advisory Committee 0 Waterfront Protection Committee 0 Health Facilities Authority Board 0 Youth Center Advisory Board 0 Hispanic Affairs Committee ❑ Historic Preservation Board ❑ Housing Authority 0 Loan Review Committee *Board Required to File State Disclosure Form 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: Yes ❑ No 0 Years of Service: 2. Present participation in Youth Center activities by your children Yes❑ No E. If yes, please list the names of your children, their ages, and which programs. List below: Child's name: Age: Program: Child's name: Age: Program: F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application.doc •Have you ever been convicted of a felony: Yes ❑ or No E3' If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes ❑ or No -B" If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes ❑ or No /If yes, explain in detail • Are you currently serving on any City Boards, or Committees: Yes 8'or No D. If yes; which board? hd�ld the of Miami Beach do you • What organizations in City currently membership in? Name: Title: Name: Title: • List all properties owned or have an interest in, which are located within the City of Miami Beach: c9 ,2 2 , 760 OGE>O'i✓2 • • I am now employed by the City of Miami Beach: Yes ❑ or NoVWhich department? • Pursuant to City Code Section 2-25 (b): Do you have a parent ❑, spouse ❑, child ❑, brother ❑, or sister ❑ who is employed by the City of Miami Beach? Check all that apply. Identify the 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 federal equal opportunity reporting requirements. Gender: 2/Male D Female —Etthnic Origin: Check one only (1) 'White (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, North Africa or the Middle East. ❑ African-American/Black (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa. ❑ Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. ❑ Asian or Pacific Islander: All persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, on the Pacific Islands. This area includes, for example, China, India, Japan, Korea, the Philippine Islands and Somoa. ❑ American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America, and who maintain Cultural identification through tribal affiliation or community recognition. Physically Challenged: Yes ❑ or Noe( Employment Status: Employed t/ Retired 0 Homemaker 0 Other ❑ 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 City 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." 3�` date Name of Applicant (PLEASE PRINT) /i9/ Applicant's ature CAr Received in the City Clerk's Office by : Date: _/ /2010 Control No. Name of Deputy Clerk Date: _/_/2010 NJ City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK'S OFFICE Telephone: 305.673.7411 Fax: 305.673.7254 CityClerk@miamibeachfl.gov Acknowledgement of fines/suspension for BoardlCommittee Members for failure to comply with Miami - Dade County Financial Disclosure Code Provision Code Section 2-11.1(1) (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. Signature Updated: Monday, April 20, 2015 Page 4 of 4 F:\CLER\SALL\_FORMS\BOARD AND COMMIT EES\BC APPLICATION REVISED 06022014.docx Date OCEAN DRIVE association December 29, 2016 Parking Department 1755 Meridian Ave. Suite 200 Miami Beach, FL 33139 Re: Transportation, Parking & Bicycle -Pedestrian Facilities Committee To Whom It May Concern: The Ocean Drive Association would like Al Feola to be re -appointed as our representative to the Transportation, Parking & Bicycle -Pedestrian Facilities Committee. Sincerely, Mario Courtney, Pre Ocean Drive Asso ation 760 Ocean Drive / Suite 9 / Miami Beach, FL 33139 / 305-531-9478 OCEAN DRIVE association December 29, 2016 Parking Department 1755 Meridian Ave. Suite 200 Miami Beach, FL 33139 Re: Transportation, Parking & Bicycle -Pedestrian Facilities Committee To Whom It May Concern: The Ocean Drive Association would like Al Feola to be re -appointed as our representative to the Transportation, Parking & Bicycle -Pedestrian Facilities Committee. Sincerely, Marlo Courtney, Pre Ocean Drive Asso• ation 760 Ocean Drive / Suite 9 / Miami Beach, FL 33139 / 305-531-9478 M IAM [DADE COUNTY SOURCE OF INCOME STATEMENT Section 2-11.1(i) of the County Ethics Code requires that certain employees and public officials file a financial disclosure Statement on a yearly basis by July 1st of every year. w Disclosure for Tax Year Ending 2016 Last Name y oGr9 First Name Middle Name/Initial Mailing Address — Street Number Street Name, or P.O. Box d c'7-0 City, State, Zip 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. 0 Zing as an Employee (check one Filing as a Board Member (check one) 0 County 0 Municipal: '4?/ (Municipality) Board where serving .7247.4ef .O./1 T Tv �/� /�.t�.?.(�.�f ��Gy�.� � �o'� rT.G,�v .r✓ i�o�'il�� t l G'o �/, .i/� Alternate address (if home address is exempt) Work telephone Term began on/ended 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. Examples of sources of income include: compensation for services, income from business, gains from property dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. 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 p County J Public Health Trust M Municipal: (Municipality) Department Position or Title Employee ID Number Work address Work telephone Employment began on/ended on Filing as a Board Member (check one) 0 County 0 Municipal: '4?/ (Municipality) Board where serving .7247.4ef .O./1 T Tv �/� /�.t�.?.(�.�f ��Gy�.� � �o'� rT.G,�v .r✓ i�o�'il�� t l G'o �/, .i/� Alternate address (if home address is exempt) Work telephone Term began on/ended 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. Examples of sources of income include: compensation for services, income from business, gains from property dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. 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 r r, e) erg /9. 4>A70 ads o /V/1/ 4'c ,,P-' %2- J 44-• I hereby swear (or affirm) that the information above is a true and correct statement. Signature of Person Disclosing Date signed RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy ❑ Electronic Copy OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: 138 SP -14 COE 2016 Scanned Date/Initials: