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JP Morgan 12/31/19MIAMIBEACH APPOINTEE: BOARD AND COMMITTEE CHECKLIST 5. P. /ul�r'))f}n� BOARD/COMMITTEE: 7-1-4,1S FOR SCANNER Scan o Scan 0 Scan 0 Scan 0 Scan o Scan 0 Scan 0 DATE OF APPOINTMENT: / /// a Appointed by: (77 1 //` 0 5 604/ 4 / FOR CLERK STAFF 1` 161c pp aJ�% -e-Iio Letter of A ointment TERM END: Ir / `% TERM LIMIT: 01 o Letter of Reappointment o ryy,s...of�(/ Lehr of Appointment/Reappointment e-mailed to Committee Liaison on `f -13°//r ) 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, 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 (as 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 Form) o Booklet — Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees o Source of Income Statement o Acknowledgment of Financial Disclosure Requirement o DIVERSITY STATISTICS REPORTIep COPY in file and ORIGINAL for Annual Report. Received on: 0) `' / Date � Processed on: 3-1:;---tir By Employee: Dae Scanned on: . / /r- By Employee: Date rk'S Office Staff Initials IhiMIKI CONCLUDED & RESIGNATION LETTERS Signed by X Boa •r Committee Member Term Expired Letter Date Processed Resignation Letter Date Processed Removal Letter due to absences Date processed Initials Scan 0 Initials Scan 0 Initials Scan 0 F:\CLER\$ALL\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx We ore committed to providing excellent public service, and sorely 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: 305.673.7411, Fax: 305.673.7254 Email: CityClerk@miamibeachfl.gov January 05, 2018 Mr. J.P. Morgan 6538 Collins Ave. Suite #113 Miami Beach, Florida 33141 SUBJECT: Transoortation. Parkina. Bicycle -Pedestrian Facilities Committee Congratulations( You have been reappointed by Commissioner Kristen Rosen Gonzalezto the above referenced, board or committee named above, 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. Congratulations and good luck. Rafael Granado City Clerk cc: Saul Frances, Parking Director Saul Frances, 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.aov OFFICE OF THE CITY CLERK, Rafael E. Granada, 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. J.P. Morgan RE: Transportation, Parking, Bicycle -Pedestrian Facilities Committee 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. r. J.P. Morgan Sworn to and subscribed bef me thi day of 0444618 irles D'Agostin 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. Miall! BEACH DIVERSITY STATISTICS REPORTING Name: Board / Committee: Appointment Date: T- P. MorqA-A-/ TrA-AISIbr !Ai-/bA' /94e6hi &(.7c/-e-- � /q/ gw7 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 9 Race/Ethnic Categories What is your race? African-American/Black Caucasian/White 0 Asian or Pacific Islander 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. le No Yes Do you consider yourself Physically Disabled? No Yes CAUsersi;.EN rFraNA,riNpData\L Deal'+fJiicrosoft\vVindo slrerttporary Internet FticeS\CCntent.0uUiook\NPeJ9CN?C.BC minority information form 05-20-13 FINAL.doc Updated: Monday, January 26, 2015 MIAMI BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl.9ov 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) /rG)4iJ C/ 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. Board Member's Name: 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. nature Updated: Thursday, December 28, 2017 Page 4 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx Date D'Agostin, Charles From: Granado, Rafael Sent: Thursday, January 04, 2018 7:16 PM To: D'Agostin, Charles Cc: Hatfield, Liliam; Granado, Rafael Subject: FW: JP Appointment to Transportation Committee Charles, This is for Commissioner Rosen Gonzalez. She wants to reappoint J.P. Morgan - her current appointee to back to Transporation. Please process. Rafael E. Granado, Esq., City Clerk OFFICE OF THE CITY CLERK 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411 rafaelgranado@miamibeachfl.gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. Original Message From: kristen rosengonzalez.com fmailto:kristen@rosengonzalez.comj Sent: Wednesday, January 03, 2018 9:03 PM To: iam(a@citvdebate.com; Granado, Rafael; Michael Gongora Subject: JP Appointment to Transportation Committee Ralph, please appoint JP for me. Xxoo Kristen Rosen Gonzalez City of Miami Beach Commissioner 305-965-4725 1