Pam Rogers 12/31/2017MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael E. Granada, City Clerk
Tel: 305.673.741 1, Fort 305.673.7254
Email: CityClerk@miamib,sachfl.gov
June 7, 2017
Ms. Pam Rogers
5415 Collins Ave. #505
Miami Beach, FL 3314.0
RE: Miami Beach Commission For Women
Dear Ms. Pam Rogers.
Congratulations! You have been appointed by Commissioner John Aleman to the above -referenced
Board or Committee, for a term ending: 12/31/2017.
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 encllosed materials carefully as they concern your duties, responsibilities, and
requirements as a board or committee member.
Congratulations and good luck.
Regards
Rafael Gr ado
City Clerk
cc: Saul Frances, Parking Director
Bonnie Stewart, City Liaison
ENCLOSURES:
Oath of Office/Oath of Civility/Acknowledgements
City Code/Ordinance section applicable to agency, board or committee
City Code Sections 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459
Ordinance No. 2006-3543 - Amendment to City Code Section 222
Miami -Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics
Ordinance Citywide 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 331 39 www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael E. Granada, City Clerk
Tel: 305.673.7411, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
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: 12/31/2017.
To my colleagues and to all of those I represent and serve, I pledge fairness, integrity and civility, in all
actions taken and all communications made by me as a public servant.
I hereby acknowledge that 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 that I understand that as a member of
the above -referenced City of Miami Beach Board 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. Pam Rogers
Sworn to and subscribed before me thi ! day of J—
�y�-2017
Phairles D'Agostin
Deputy Clerk
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
M MIAMI BEACH
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
NAME: Rogers Pam E
Last Name First Name Middle Initial
HOME ADDRESS: 5415 Collins Avenue, #505 Miami Beach Florida 33140
Apt No. Home No./Street City State Zip Code
PHONE:
Home
(866) 491-6737
Work
pamrogersl@gmaii.com
Business Name: St. Thomas Univ. Human Rights Institute Position: Attorney
Address: 2650 S.W. 27th Avenue, Suite 304 Miami
Street
City
Email Address
Florida 33133
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:
I am a female attorney who has worked in the non-profit sector for approximately 12 years, while living on Miami Beach for over
• Are you presently a registered lobbyist with the City of Miami Beach? No
riease iist your preterences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that onlythree (31
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:
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 Issuance Date
License Number
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
• Are you currently serving on any City Boards or Committees: No
• What organizations in the City of Miami Beach do you currently hold membership in?
If yes, please explain in detail:
If yes, which board?
• 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
5415 Collins Avenue, #505
Gender: Female
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 Pam Rogers agreed to the following terms on 6/1/2017 9:27:50 PM
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No. Date
PAM ENGLAND ROGERS, ESQ.
5415 Collins Avenue, Miami Beach, FL 33140
(305) 297-5762
pamrogersl@gmail.com
WORK EXPERIENCE:
St. Thomas University Human Rights Institute, May 2005 -present
Staff Attorney, Miami, FL
Represent clients in immigration court litigating a variety of applications for relief,
including asylum, CAT, and withholding of removal; Prepare and file motions, trial
and appellate briefs, waivers and adjustment of status applications in immigration
court and with USCIS; Represent clients at USCIS hearings; Provide clients with
legal advice and assistance in numerous aspects of immigration related matters
including criminal issues.
Miami -Dade County State Attorney's Office, February 1995 -June 2003
Assistant State Attorney, Miami -Dade County, FL
1997-2003: Extraditions Unit - handled international and domestic fugitive cases
1996-1997: Felony Division - litigated over 20 felony jury trials
1995-1996: County Court Division - litigated over 50 complex DUI and misdemeanor
cases
1995: Juvenile Division — litigated over 50 bench trials for all levels of Juvenile cases
University of Miami School of Law, January 1994 -December 1994
Assistant Director, Career Planning, Miami, FL
University of Florida College of Law, November 1992 -December 1993
Public Sector Coordinator, Career Services Office, Gainesville, FL
EDUCATION:
University of Florida College of Law, Gainesville, FL
Juris Doctorate, July 1992
Legal Honors & Activities:
Trial Team - Final Four at ABA Regional Competition, 1990
Rotary Foundation Scholarship, 1990-1991
High Honors, Summer 1992; Honors Fall 1991, Fall 1988
Florida State University, Tallahassee, FL
Bachelor of Arts, Communications for Business, 1986
Graduated Cum Laude
MEMBER:
Florida Bar; American Immigration Law Association (AILA);
Vice Chairman and Member of the Board, Brickell Avenue Literary Society
PERSONAL:
Speak Spanish; Enjoy spinning, reading and foreign films
'! 1. H
tI ! L�
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.aov
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: Pa vyi /Zo 7 & r'S,
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.
Signature
Updated: Monday, April 20, 2015
Page 4 of 4
F.\CLERISALL\aFORMS\EOARD AND COMMiT` EES\6C APPLICATION REVISED 06022014.docx
"'®' 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 Ending Last Name First Name Middle Name/Initial
2016 �RO e r S
Mailing Address — Street Number, Street Name, or P.O, Box
514t'j-
City, State, Zip
V\ . , 1 ,e,- . 'R
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. ❑
Filing as an Emnlovee (check one)
County F Public Health Trust ❑ 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)
6
County Municipal: �t � �-
(Municipality)
Board where serving
IO KAA ✓}Jz^a11 Qv sl vr> (Zy l �v» 0--'D ,r vi o »► P-r)
Alternate address (if home address is exempt) I Work telephone I 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
nerson for vour benefit. However. the income of vour spouse or anv 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
S1.
or\
I hereby swear (or affirm) that the information above is a true and correct statement.
TL --
Signature of Person Disclosing
(olt1�711-�
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138 SP -14 COE 2016
B
I Y %IAM1F A��
Name:
DIVERSITY STATISTICS REPORTING
ko
Board / Committee: ►-1 t a -y?
Appointment Date: CI Z 7
/7
6e-A0__A &mPy1 f 551 Dr, Apr- VUc)w, eve
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 0 Female rXII
Race/Ethnic Categories
What is your race?
r—
I African-American/Blau
Caucasian./White
Asian or Pacific Islander
Native-American/American indian
Other — Print Race:
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the `'No" box if not
Spanish, Hispanic, Latina/a.
No
Yes
Do you consider yourself Physically Disabled?
No
Yes
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information form 05-20.13 FIN,AL.doc
Updated: Monday, January 25. 2015