Kareem Brantley 12_31_18MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Rafael E. Granada, City Clerk
Tel: 305.673.7411, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
October 18, 2017
Mr. Kareem Brantley
11 Island Avenue #1008
Miami Beach, FL 33139
RE: Plannina Board
Dear Mr. Kareem Brantley:
Congratulations! You have been appointed by the City Commission to the agency, board or committee
named above fora 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 as they concern your duties, responsibilities, and
requirements as a board or committee member.
Congratulations again and good luck.
Regards,
eifi w
fael Gr.t ado
City Clerk
cc: Saul Frances, Parking Director
Michael Belush, City Liaison
ENCLOSURES:
Oath of Office/Oath of Civility/Acknowledgements
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
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.aov
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.741 1, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Kareem Brantley
RE: Planning Board
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.
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.
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 t
r. Kareem Br6ttey
day of a:172017
, 2017
Char •'Agostin
uty 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.
APPOINTEE:
1'
1-1
BOARD AND COMMITTEE CHECKLIST
6ktoevi err) -1 -lei DATE OF APPOINTMENT: /`/ /4 r/ / 7
BOARD/COMMITTEE: /4011/1) SQIL Appointed by: (r wi'4/17 ‘'�� S /6'11
FOR SCANNER FOR CLERK STAFF
Scan o c Letter of Appointment
Scan o o Letter of Reappointment
o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison
Scan o
Scan o
Scan o
Scan o
Scan 0
Received on:
Processed on:
Scanned on:
o Board and Committee Application (Completed on
o Resume/Curriculum Vitae
o Diversity Statistics Reporting (Completed on
o Oath
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
✓ City Code Ordinance Section applicable to the agency, board or committee
✓ City Code Sections 2-21, 2-22, 223, 2-24, 2-25, 2-26, 2-458 and 2-459
✓ County Code Section 2-11.1 — Conflict of Interest and Code of Ethics Ordinance
amended through December 2010)
✓ Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)
✓ Highlights of the Miami -Dade County Ethics Code
✓ Sunshine Law and Public Records — Frequently Asked Questions
✓ Memorandum - Solicitation by City Board and Committee Members
o Citywide Permit Application (Parking Department Forrn)
o !Booklet — Guide to Sunshie Amendment & Codeof Ethics forPublic Officers and Employee:
o Source of Income Statement
o Acknowledgment of Financial Disclosure Requirement
o DIVERSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for Annual Report.
Signed by X
Date
Date
Date
By Employee:
By Employee:
Board or Committee Member
City Clerk's Office Staff Initials
City Clerk's Office Stam Initials
CONCLUDED & RESIGNATION LETTERS
TERS
Term Expired Letter Date Processed Initials Scan 0
Resignation Letter Date Processedlnitia�, l�
Scan 0
Removal Letter due to absences Date processed Initials Scan 0
F:\CLER\BOARD AND CO MI I I IES DATABASE \CHECKLIST M.AS T ER\B&C Checklist 2015 Ih.docx
City of Miami Beach
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www. m iami beachfl.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: K4R ee" 1
I understand that no later than July 1, of each vear 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 Date
Updated: Monday, Aprif 20, 2015
Page 4 of 4
F:\CLER\BALL\aFORMS\EOARD AND COMMIT EES\6C APPLICATION REVISED 06022014.docx
MIAMI -
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.
Disclosure for Tax Year Ending L Name •Firmest Name Middle Name/Initial
2016"f "/ e(-°',✓ ItLK.Keem --7--
Mailing
Mailing Address - Street Number, Street Name, or P.O. Boi
// /Gig ),l -ii .#/7dd'
City, State, Zip
.;/i /
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)
D County El Public Health Trust 0 Municipal:
Department
Position or Title
Work address
Filing as a Board Member (check one)
Q County
Board where serving
44-/V/✓/Nle
Alternate address (if home address is exempt)
(Municipality)
Employee ID Number
Work telephone Employment began on/ended on
unicipal: 4311 /K -
(Municipality) (Municipality)
Work tele hone
%SSS -2D( --70/g'
Term began on/ended on
to/ff'/7
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.0
Address Description of the Principal Business Activity
Name of Source of Income
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I hereby swear (or affirrp at the information above is a true and correct statement.
Signature of erson Disclgging
/0—/9; 2 /7
Date signed
OFFICE USE ONLY Accepted: Y / Ni Deficiency:
138 SP -14 C0E 2016
*%AIG) i2�1Ly-<rr�
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RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
Processed Date/Initials: Scanned Date/Initials:
M1AM I BEACH
DIVERSITY STATISTICS REPORTING
Name: KA-Pee/Li 16(s1tt� % /C`'
Board / Committee: 84„JAJI40 180 U
Appointment//K
Date: /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 0
Race/Ethnic Categories
W is your race?
African-American/Black
O. Caucasian/White
Asian or Pacific Islander
LJ 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, Latino/a.
No
0 Yes
Do you consider yourself Physically Disabled?
1I Yes
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information form 05.20-13 FIN^,L.doc
Updated: Monday, January 25. 2015