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Terri Echarte 12/31/19
s. 3 i' 'mt \ f Sa V BOARD AND COMMITTEE CHECKLIS ■ APPOINTEE: P % t'c44xle DATE OF APPOINTMENT: [ l b9/ /7 BOARD/COMMITTEE:/t4/3 CCMMV S S, bit/, Appointed by: COM/Vi - //E'44A-AJ FOR SCANNER FOR CLERK STAFF 0/041ev Scan c o Letter of Appointment Scan o o Letter of Reappointment o Co? of eyr of Appointment/Reappointmentt� e-mailed / to 7 Committee Liaison Scan o o Board and ommittee Application (Completed on /�7 2// w / ) Scan o o ResumetCurriculum Vitae o Diversity Statistics Reporting (Completed on -1 Scan o 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, 2-23, 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) cn✓ Highlights of the Miami -Dade County Ethics Code -�; ✓ Sunshine Law and Public Records — Frequently Asked Questions co , ©� ✓ Memorandum - Solicitation by City Board and Committee Members - m— ace .;.L, 0 Citywide Permit Application (Parking Department Form) r W CV 11:_x -'— 0 Booklet — Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employee tom1 CC o c 0 Source of Income Statement ,--Z0.1;44-:0 Acknowledgment of Financial Discloyure Requirement c" c.,0 DIVERSITY STATISTICS R 0 TING Kee C F in fil and OR1 -1NAL for Annua[ Report. Received on: / a / / 1 �, / 17 Signed by /.�llAI f Dat nu Processed on: lf� (i2 By Employee: f2( e `�//�n" ( By Employee: Date \ L U CI, r.5 a � . Term Expired Letter Date Processed mber `-ff initials ity Clerk's Offce,Staf i IQitial t ci Resignation Letter Removal Letter due to absences Initials Scan Date Processed Date processed Initials Scan 0 Initials Scan 0 F:4CLER1BOARD AND COW:11 ;IES DATABASE\CHECKLiST MASTERIS&C Checklist 2015 Ih.docx WE- Ore .. Mmisti c, -- - t MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 331 39 www.miamibeachfl.aov OFFICE OF THE CITY CLERK, Rafael E. Granath), City Clerk Tel: 305.673.7411, Fax: 305.673.7254 Email: CityClerk@miamibeachfl.gov December 07, 2017 Ms. Terri Echarte 3000 Royal Palm Ave Miami Beach, FL 33140 RE: Miami Beach Commission For Women Dear Ms. Terri Echarte: Congratulations! You have been appointed by Commissioner John Aleman to the above -referenced Board or Committee, fora term ending: 12/31/2019, effective January 1st, 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 as they concern your duties, responsibilities, and requirements as a board or committee member. Congratulations again and good luck. Regards, t RafaeGranado City Clerk cc: Saul Frances, Parking Director Michele Burger, 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 2-22 Miami -Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics City Wide Perm it 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 vwvw.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: Ms. Terri Echarte 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: 12/31/2019. 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 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. 7� t i_(24/.7111/1; Le -14 Ms. Terri Echarte Sworn to and subscribed before me this day oft) "e6', 2017 r s D'Agostin JePutY 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. 1 I ti City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov 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: 7-��Qr Ecti�te 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. i Sig h4ture Updated: Monday, April 20, 2015 Page 4 of 4 P\CLER\SALL\aFORMS\BOARD AND COMMITTEES \BC APPLICATION REVISED 06022014.docx /7 Date MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 331 39 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 December 07, 2017 Ms. Terri Echarte 3000 Royal Palm Ave Miami Beach, FL 33140 RE: Miami Beach Commission For Women Dear Ms. Terri Echarte: Congratulations! You have been appointed by Commissioner John Aleman to the above -referenced Board or Committee, fora term ending: 12/31/2019, effective January 1st, 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 as they concern your duties, responsibilities, and requirements as a board or committee member. Congratulations again and good luck. Regards, Rafae(Granado City Clerk cc: Saul Frances, Parking Director Michele Burger, 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 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. RA'AM BEACH Name: DIVERSITY STATISTICS REPORTING Fear_ 15(1v6le_ Board / Committee: M6 6 c 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 1 Female - Race/Ethnic Categories What is your race? Z4/African-American/Black - CaucasianiWhite 0 Asian or Pacific Islander i Native-American/American Indian D Other — Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not Spanish, Hispanic, Latino/a. N o I Ji Yes Do y u consider yourself Physically Disabled? No El Yes akUsersyCENTFrafT,AppDataiLocal\Microsoft\Windasiremoorar'y int n information farm 05-20-13 FtNAL.doc Undated: Monday, January 25, 2015 Piles\Cont:en`t.Outiook\NP',a9CNXAC:'.C