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Pamela Brumer 12/31/2018MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeochfl.aov OFFICE OF THE CITY CLERK, Rafael Gronado, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 Email CityClerk@miamibeach.gov November 15, 2016 Ms. Pamela Brumer 300 S Pointe Drive #1102 Miami Beach, Florida 33139 SUBJECT: Police/Citizens Relations Committee 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 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 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 Granada, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 Email CityClerk@miamibeach.gov TO: Ms. Pamela Brunner 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: 12/31/2018. 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. Ms. Pamela Brumer Sworn to and subscribed before me this day of �, 2019.7 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. WAAAMI WkI EVAN Affill I TO DIVERSITY STATISTICS REPORTING Name: 5 W e--1 6,C, mQ--V- Board/ Committee: �oCi � 0J1.1 z ?yiS iQC !A n Jt©`is �c�rytr�i'l���e� Appointment Date: I I 1 1 ' / 11,0 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 U Female Race/Ethnic Categories What is your race? �I African-American/Black Caucasian/White Asian or Pacific Islander ID Native-American/American Indian ZI Other — Print Race: 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? No Yes C:\gJsers\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 rt®DADE SOURCE OF INCOME STATEMENT Section 2-11.1(1) 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. Disclosure for Tax Year EndingLas/tt Name Fi t Name Middle Name/Initial 244-5— ,10 �% 1✓ ru �Cr Mailing Address — Street Number, Street Name, or P.O. Box 3 o 0 S �� ,ltd -1> V-.�-- City, State, Zip Al /35 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. ❑ Cann �e nn Cmnrnvan 1,t—L, nnc\ County Public Health Trust F Municipal: (Municipality) Department Position or Title Employee ID Number Work address Work telephone Employment began on/ended on Finnn ac n Rnar'd Member (check one) F County Municipal: (Municipality) Board where servin % adl'-2-e4s 01 Alternate addre (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 k,,,.,,+;+ U--- +ho ,.,,.,,mo „+,,, — ,nn ,moo — — , h—i— n�r+nar naarl not hp disclnserl. If continued on a separate sheet, check here.❑ Name of Source of Income Address Description of the Principal Business Activity l� S�-tr� e- �t s ✓ 4 4 0 �JaA--1- -�,rCtA I hereby swear (or affirm) that the information above is a true and correct statement. Signature of Person Disclosing Date ig ed OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: 138SP-14 COE2016 RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy Electronic Copy Scanned Date/Initials: A I A.M1 MACH City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfi.gov CITY CLERK'S OFFICE Telephone: 305.673.7411 Fax: 305.673.7254 Cit, Clerk@miamibeachfl.gov 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: 61' k" 4(k il!5w ir c r , 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. 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. 01yIIdIUIC Updated: Monday, April 20, 2015 Page 4 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.dccx