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Marvin Weinstein 12/31/19✓11AMIBEACH BOAR AND COMMITTEE CHECKLIST APPOINTEE: I��V �� FA Add) V\ DATE OF APPOINTMENT: Ag BOARD/COMMITTEE: -' Appointed by:c�,( -7 FOR SCANNER FOR CLERK STAFF/ Scan o o Letter of Appointment TERM END: ) TERM LIMIT: I r> Scan o o Letter of Reappointment o joly of L r of Appointment/Reappointment e-mailed to Committee Liaison on Scan o o B dad ommittee Application (Completed on ) Scan o o Resume/Curriculum Vitae IN19ck,� 'o o Diversity Statistics Reporting (Completed on Scan o o Oath IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK C1j ✓ City Code Ordinance Section applicable to the agency, board or committee t - c.7 ✓ City Code Sections 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459 call- ✓ County Code Section 2-11.1 — Conflict of Interest and Code of Ethics Ordinance (as > ES amended through December 2010) O' ✓ Amendments to the Code of Ethics Ordinance (September 2009 through July 2012) c*� ' ✓ Highlights of the Miami -Dade County Ethics Code ✓ Sunshine Law and Public Records — Frequently Asked Questions --� ✓ Memorandum - Solicitation by City Board and Committee Members C'" O Citywide Permit Application (Parking Department Form) o Booklet — Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees Scan O o Source of Income Statement Scan o o Acknowledgment of Financial Disclosure Requirement O DIV RSITY STATISTICS REPO G Ke C Y' file and IGINAL for Annual Report. Received on: 241 tSigned by - Date i / o rd or Ctee Member Processed on: C 13o L� BY Employee: Em to ee: Da ee I s ffic to i t130 Scanned on: /vv By Employee: Date City erkrs Office'"gtaff Initials CONCLUDED & RESIGNATION LETTERS Term Expired Letter Date Processed l I Initials Scan o Resignation Letter Date Processed Initials Scan O Removal Letter due to absences Date processed -- - ---- - - - ------ Initials Scan O F:\CLER\$ALL\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx �nit,:,c c . _-: to, �vno r.c � �.;��,� i : uvi.rcnt h,� r, h_loric corrrrrrnjty 101AMIBEACH 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: 305.673.741 1, Fax: 305.673.7254 Email: CityClerk@miamibeachfl.gov January 18, 2018 Mr. Marvin Weinstein 5010 Alton Road Miami Beach, FL 33140 RE: Desian Review Board Dear Mr. Marvin Weinstein: Congratulations! You have been appointed by the City Commission to the agency, board or committee named above for a term ending: 12/31/2019. 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, Rafael Granado City Clerk cc: Saul Frances, Parking Director James Murphy, 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. Granada, City Clerk Tel: 305.673.7411, Fax: 305.673.7254 Email: CityClerk@miamibeachfl.gov Oath of Office Oath of Civility and Acknowledgements TO: Mr. Marvin Weinstein 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: 12/31/2019. 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 1 st, fall n the closing of the calendar year on which I have served. �---�. a einstein Sworn to and subscribed before me this day of 2018 Deputy 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. MIE lel 1�1�'SOURCE OF INCOME STATEMENT 1jal ��1 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. 1 Disclosure for Tax Year Ending La t e First Na e n /' - 1 MidNaar (Initial Mailing Address — Stree umber, Street Name, ax / L To/V Citst i. Z6* c If your dome 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 [] Public Health Trust JZ Municipal: Department Position or Title Work address Filing as a Board Member (check ane) 0 County BoardVre Sf[vi� Alternate address' i come address is exempt) (Municipaffty) Employee ID Number Work telephone Employment began on/ended on VMunicipal: v umcipallty) Work telephone j 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 any business partner need not be disclosed. If continued on a separate sheet, check here -7-1 Name of Source of Income Address Description of the Principal Business Activity 777 '- swear (orIffirm) that L/SdpfrflurePerson sing 121 itq Dai signed / ve is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: r ❑ Hardcopy ❑ Electronic Copy nc_IC= i 1 ONLY Accepted: Y r4 Deficiency Processed Date/Initials: Scanned Date/Initials 133 SP -1: 00E2015 -- _ - Win M , MW W a City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl.aov CITY CLERK'S OFFICE Telephone: 305.673.7411 Fax: 305.673.7254 CityClerk@miomibeachfl.gov Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami - Dade County Financial Disclosure Code Provision C de Section 2-11.1(1) (2) _ t Board Member's Name: I understand that no later than Julv 1, of each vear all mbe 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" A "Statement of Financial Interests (Form 1)" 3. A Copy of your latest Federal Income Tax Return Failure to file one of these forms �l%irs;u nt to the Miami -Dade County Code, may subject the person to a fine of no more than $500, 60 days ' Jail or oth. S ig n/Vure �Date� Updated: Thursday, December 28, 2017 Page 4 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx