Daniel Smith 12/31/19All� B
EAC I
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: bA#jr'_'e' / SA4 l T� DATE OF APPOINTMENT:
BOARD/COMMITTEE: Ve)(_fi Cry' 66ur i' Appointed by: Comm
FOR SCANNER FOR CLERK STAFF !n
Scan o o Letter of Appointment TERM END: tj/-)? /C TERM LIMIT: r
Scan o o Letter of Reap ointment
o p f try of Appointment/Reappointment e-mailed to Committee Liaison on
PJ-�Scan o o Boar and Committee Application (Completed on )
Scan o o Resume/Curriculum Vitae & 3
o Diversity Statistics Reporting (Completed on
Scan o o Oath
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
77
t ✓ 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)
Ln
✓ 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
Scan o
Scan o
Received on:
Processed on
Scanned on:
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
i o DIVERSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for Annual Report.
l11.2 Signed by
16 eel g- By Employee:
Em to ee:
Date /
Sr By Employee:
Date
CONCLUDED & RE
ED
Term Expired Letter
Date Processed
Initials Scan O
Resignation Letter
Date Processed
Initials Scan o
Removal Letter due to absences
Date processed
Initials Scan U
FACLERISALL\BOARD AND COMMITTIES DATABASEICHECKLIST MASTERT&C Checklist 2015 MASTER.docx
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MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael E. Granada, City Clerk
Tel: 305.673.7411, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
September 28, 2018
Daniel Smith
90 Alton Road, Apt 2202
Miami Beach, Florida 33139
RE: Next Generation Council
Dear Daniel Smith:
Congratulations! You have been appointed by Commissioner Micky Steinberg 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.
i
Congratulations again and good luck.
Regards,
Ra ael Granado
Ci' Clerk
C.
Saul Frances, Parking Director
Erick Chiroles, 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.
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 331 39 www.miamibeachfl.gov
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: Daniel Smith
RE: Next Generation Council
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, following the closing
of the calendar year on which I have served.
MM
���EOOM
Daniel Smith
Sworn to and subscribed before me this :5
day of P f2018
harl
'Agostin
e
uty Clerk
*Please visit the City of Miami Beach website at www.miamibeachfi.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.
M I A MI B F A
1�1
DIVERSITY STATISTICS REPORTING
Name:
Board / Committee: 1 - c r C`�e�e�~,`~^ ��✓ncI
Appointment Date: ------F—=
p
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 I-V Female 0
Race/Ethnic Categories
What is your race?
[�_] Ar an-American/Black
Gaucasian/White
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, Latinole.
No
es
Do you ider yourself Physically Disabled?
�No
ID Yes
C:\Users\CFVTFra,N'AppData\Local,'Mi,:rosoftivUindc.ws\Temoorar. Internet Fi!es\Content.out!ook\NIP�'j9CN;C\BC mino;iiy
information form 05-20-13 FINIL.doc
updated: Nionday, January 2E. 2015