Kathleen Phang 12/31/18MIAMIBEACH
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: 305.673.741 1, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
February 16, 2017
Ms. Kathleen Phang
145 Jefferson Ave. #437
Miami Beach, Florida 33139
SUBJECT: Design Review Board
Dear Ms. Kathleen Phang
Congratulations! You have been reappointed by the City Commission to the above referenced board or
committee, for a term ending: 12/31/2018.
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.
Respectful ,
Rafael Granado
City Clerk
cc: Saul Frances, Parking Director
James Murphy, 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 E. Granada, City Clerk
Tel: 305.673.741 1, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
TO: Ms. Kathleen Phang
RE: Design Review 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.
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 o iami-Dade County or the
State of Florida (depending on the board or committee on which I serve) ontli 1 st, following the closing
of the calendar year on which I have served. f
Ms. Koeen Phang
Sworn to and subscribed before me this c�- / day of i�_017
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfi.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.
s3 P. A
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City of Kami Beach
1700 Convention Center Drive,
Ma iami Beach, Florida 33139,
w,,,/v/.miarnibeachf l.aov
CITY CLERK'S OFFICE
Telephone: 305.673,741 1 Fax: 305.673.7254
Cih,Clerk@miamibeachil.gov
Acknowledgement of fineslsuspension for BoardlCommittee Members for failure to comply with Miami -
Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2)
Board Member's name: pt 4 I4-�'e-y)
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 fife, even
though they may have been recently appointed.
One of the following forms must be filed with the City Clerk of Miami Beach, 1100 Convention Center Drive,
Miami Beach, Florida, no ia-terthan 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 f these forms, pursuant to the Miami -Dade County Code, may subject the person to a gine
Of o more than SSy.G 60 days in jail or both.
Sionature
Updated: Monday, Aprii 20, 2015
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=Si30 , _i C. TION REVISED 0c97222_014
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Date
r�,l®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 Ending tLaTostName7_ First NameMiddle Na a/Initial
2016 TV► l ��Yl
Mailing Address — Street Number, Street Name, oA P.O. Box
iol � % Strc�t-
City, State, Zip
HI a.nn Shv 2s , 1'L 331 '3 �
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 Employee (check one)
0 County F] Public Health Trust F 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)
County ED Municipal: U Let wN` � 4e C4 J,
(Municipality)
Board where serving
1'e4►ek&) lrbc YrJ .
Alternate addres (if home address is exempt) I 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 anv business partner need not he. disclnsed. If continued nn a senarate. sheet. cheese herr--I
Name of Source of Income
Address
Description of the Principal Business Activity
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I hereby swe6r (or_ .Wm) that,Ae inforpion above is a true and correct statement.
Signature
X12_ lJ
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
M, I AMI B FAC H
DIVERSITY STATISTICS REPORTING
Name: i<CA 10-e-0 P10 4
Board / Committee:
Appointment Date:
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 YJ
Race/Ethnic Categories
What is your race?
African-American/Black
ID (;aucasian/White
UTAsian or Pacific Islander
Q Native-American/American Indian
ID Other — Print Race:
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box i` not
Spanish, Hispanic, Latincla.
ID Yes
Do you consider yourself Physically Disabled?
U -No
Yes
i
Interna� Re cLon ten I. Oufloo [(\!\, P e�.j 9C, N X"RE C 1-minc.01v
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information form 05-20-13 FIN 11L.doc
Updated: Monday, Januani 6, 2015