Joseph Landesman 12/31/19BOARD AND COMMITTEE CHECKLIST
APPOINTEE: 1Y' ti L4rl 5fr \-`/ DATE OF APPOINTMENT:"19-44)1/1"-
BOARD/COMMITTEE:
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BOARD/COMMITTEE: A -c-^
Appointed by: C�vMol/f , ,��•Se� l:z'���Z
FOR SCANNER
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FOR CLERK STAFF
o Letter of Appointment TERM END:
o Letter of Reappointment
o op of -tter of Appointment/Reappointment e- ailed to Committee Liaison on
TERM LIMIT:% S
Scan o 0 oar. and C•mmittee Application (Completed on
Scan o o Resume/Curriculum Vitae
o Diversity Statistics Reporting (Completed on
Scan o 0 Oath
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11.4
0
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IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
• =w ✓ 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
cu.a ✓ County Code Section 2-11.1 — Conflict of Interest and Code of Ethics Ordinance (as
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zamended through December 2010)
-= ✓ Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)
,,_,4 ✓ Highlights of the Miami -Dade County Ethics Code
✓ Sunshine Law and Public Records — Frequently Asked Questions
F-6 ✓ Memorandum - Solicitation by City Board and Committee Members
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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 DIVEJRSITY STATISTICS REPORTIN
Received on: l — I ^
Processed on:
Scanned on:
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Date
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Date
Date
Signed by X
By Employee:
By Employee:
PY in file and
IGINAL for Annual Report.
mmittee Member
Office Staff Initials
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City - k's Office Staff iti ll C
CONCLUDED & RESIGNATION LETTERS
Term Expired Letter Date Processed
Resignation Letter Date Processed
Removal Letter due to absences Date processed
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F:\CLER\$ALL\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
We ore committed to providing excellent public service and safety to oil who live work. and play rn 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: CiiyClerk@miamibeachfl.gov
February 22, 2018
Mr. Joseph Landesman
4101 Pinetree Drive Apt. 502
Miami Beach, Florida 33140
SUBJECT: Budaet Advisory Committe
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.
Regard,
Rafael Granado
City Clerk
cc: Saul Frances, Parking Director
( John Woodruff, 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.
MIAMI BEACH
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. Joseph Landesman
RE: Budget Advisory 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 I\imi-Dade County or the
State of Florida (depending on the board or committee on which I serve) on July 1§.t, following the clo ing
of the calendar year on which I have served.
Mr Jo
Landesman
Sworn to and subscribed before me this lam_ day of/1491<2018
harle'Agostin
D - . ty 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.
MIAMI BEACH
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:
3—d)-QIPL Loik
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.
3-1,3
Signature ‘) C/ Date
Updated: Thursday, December 28, 2017
Page4of4
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
MIAMI BEACH
DIVERSITY STATISTICS REPORTING
J ofePk Low,djiic,ikJe 1- A k 3or
1_ 12_ _ 2_01y
Name:
Board / Committee:
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 ap ropriate box for each category:
Gender: Male _ Female L1
Race/Ethnic Categories
What is your race?
scan-American/Black
CaucasianMlhite
0 Asian or Pacific Islander
L._ J Native-American/American Indian
0 Other — Print Race:
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not
Spanis', Hispanic, Latino/a.
No
I Yes
Do you consider yourself Physically Disabled?
No
LJ Yes
C.:\Users\CENTFra" '4ApoiD tai! ocat\MicrOS ttwI
information form 05-20-13 FINAL.00c
Updated: Monday, January 06, 2015
MIAMFDADE
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 Last Name First Name / Middle Name/Initial
e9-6- /7 L�r.d�J fn abk14
Mailing Address — Street Number Street Name, or P.O. Bo O f
W(o 1 Pine T ree _r\je 4 4 kr)
V
City, State, Zip
;Okil i Bev' I, FL- 1 S3 I E-3 0
If your home address is your mailing address, and your home address is exempt from public records pursuant to Ra. Stat. §119.07, read
instructions on the following page and check here. ❑
Piling as an Employee (check one)
O C
'Department
Position or Title
Work address
j Public Health Trust 0 Municipal:
(Municipality)
Filing as a Board Member (check one)
D County
Board where serving
Alternate address (if home address i es is
Municipal:
Work telepho
Employee ID Number
Employment began on/ended an
//" /T
1 (Municipality)
Work telephone Term began qe/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 far 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
Li 0\4 Svvle5 Co\ {(,) °° .?r(CkV/ I title -
115, -r,�,,rnn
I hereby sU •a
that the information above is a true and correct statement.
Signature of Person Disclosing
Date signed
OFFICE USE ONLY Accepted: Y / N Deficiency:
138_SP-14 C0E 2016
Description of the Principal Business Activity
cal V fr r;ue e
RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
Q Electronic Copy
Processed Date/Initials: Scanned Date/Initials: