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IMPORTANT INFORMATION FOR BOARD AND COMMITTEE M,00BERS 6000
City Code Ordinance Section applicable, to the agency, board or committee
City Code Sections 2-21,2-22,2 23' 2-2/11 2-25, 2-26p 2-458 and 2 -459
County Code Section 2-11.1 - Conflict of Interest and Cod,---. of Ethics Ordinance.,
-rnended through December 201 0)
V Am- ndmmn-s to the Code(Sep of Ethics Ordinance U=mber 2009 *
hroughJuly 202)
Highlights of the Miarni-Dade County Ethics Code
✓ Sunshine L -=w and Public Records - Frequently Asked Questions
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M�emorcandurn - Solicitation by City board and Ccrnmi"LMembers
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I M BE
1AM_ A H
City ®f Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
TP I • q 05 673,-7_4_1_Ljax.:_3_Q5 _67_3,-7--2 U
Email: CityClerk@miamibeachfl.gov
December 21, 2017
Ms. Margaret (Peggy) Benua
115 W. Sunrise Avenue
Coral Gables, Florida 33133
RE: Miami Beach Commission For Women
Dear Ms. Margaret (Peggy) Benua:
Congratulations! You have been appointed by Commissioner Mark Samuelian to the above -referenced
Board. or Committee, for a term ending: 12/31/2019.
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,
� f
fael Gr ado
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, 2-241 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.
MIAM''
� AL
r
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
Te : 3 05 ._6Z3._7_4_1_L _Fax - 3 0,5 _ A7.q _ 79.,Sd
Email: CityClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Margaret (Peggy) Benua
RE: Miami Beach Commission For Women
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: 12/31/201- 9.
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 1 st, following the closing
of the calendar year on which I have served.
Ms. arg'aret (Peggy) Benua
Sworn to and subscribed before me thi b day of4ec12017
les D'Agostin
eputy 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.
of Miami' Beach
1700 Convention Censer Drive
V�jami Beach, Florida 33139,
vP,vw.rniamibeachFl.aov
CITY CifyClerk@miamibeachfl.gov
OFFICE Clerk@M10M1*be.0Ch'1l.CoV
Telephone: 305.673 7411 Fax: 305.673.7254
Acknowledgement of fines/s us pension for Board[Committee Members for failure to comply with Miami -
Dade County financial Disclosure Code Provision Code Section 2-11.1(i) (2)
P00%
Board Member's Name: coo A/ Ut
I understand that no later than JuIv 1, of each gear all members of Boards and Committees of the City of
Miami Beach, including those of a purely. advisory n . ature, 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 ofJuly 1, of each year.
-r ,m te. n.. T
I . A "'Source of Income Statement"
t t=.
2.- A"Statement of Financial Interests (Form `)if
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
OT nOmore roan $1500, 60 days in jai', or both.
Signature Date
Updated: Monday, April 20, 2015
P age of 4
r'-'\CLt'ZF,\�ALL\aFORMS\BOARD AND COMMIT -1 EES\B,,`,` APPLICATION REVISED 06,02201-4.0"oc.-I
MIAMI-DADE SOURCE OF INCOME STATEMENT
Section 2-11.1(i) of the County Ethics Code requires that certain employees and public officials fife a financial disclosure Statement. on a yearly basis by July 1st
of every year.
Disclosure for Tax Year Ending Las me First Name Middle NamelInitial
201
Mailing Address – Street Number, Street Name, or P.O. Box r
City, State, Zip
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[]
PffinkPs an Employee (check one)
County c Health Trust Municipal
(Municipality)
Departrn
Position or Title
Work address
Filing as a Board Member (check one)
E] County
Board where serving---�
Alternate address (if home address is exempt)
ti
Work telephone
Employee ID Number
... mployment began on/ended on
(Municipality)
Work telephone Terre 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 any 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
.:33, t4m-e
(3jr Vj ot
I hereby sw,r;jor affirm) that the i r— ation above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
[� Hardcopy
] Electronic Copy.
Signature Person Disclosing
Date signed
OFFICE UE3—P ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scarined Date/Initials:
138 SP -14 COE 2016
Pursuant to City of Miami Beach Ordinance 2009-3632, the City is required to annijally
are and present a report to the City Commission identifying the City's diversity
statistics. This form allows board andcomm " ittee applicaants and members to voluntarily
self -identify their race, ethnicity, disabled status and gender.
�Ie'ase check the appropriate box for each categorT,
L Af ricclln -Am e rican/e) lack
CraucaslanNvINIte
As'ian or Pacl-fic Islander
Na4LIve-Amer'lcan/;Amt.^:�iel'cc,,an Indian
0' !her — PrInt Race.,
. . . . . . . . . . . . . . . . . . . . . . ........
Do y-ou consIder *yourself to be Spanish, His pan"c ora tIn o/O Man'< the Nobox- n, ot
Spurush, Hi ;-zin' Laitino,/a,,
dN .
ye. S.
,,.,.,a .),mvinch-vvs
iniforrniation foinr