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Josephine Manning 10/31/19MIAMIBEACH BOARD AND COMMITTEE CHECKLIST APPOINTEE: leas +"� IMAALC/Ve— DATE OF APPOINTMENT: BOARD/COMMITTEE: A1(_f0" �_41WZ 0"^Appointed by: /4"g—(O F /iy9� FOR SCANNER FOR CLERK STAFF ` �'��r,::�4A_Ib rVC- Scan o o Letter of Appointment TERM END: P 131 TERM LIMIT: Scan o o Letter of Reappointment �oj3i/, 9 o y Letter of Appolntment/Reappointment e-mailed to Committee Liaison on Scan o o Board and Committee Application (Completed on --� / 3 / le- ) Scan o o Resumu6/Curriculum Vitae o Diversity Statistics Reporting (Completed on ) Scan o o Oath O DIVERSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for Annual Report. Received on: Z Signed by X AIA �i Date card Committee Member Processed on: 1,2_0�” i By Employee: DateIty Cjegk's Office St tial Scanned on: 1 2 By Employee: I ' Date City Jerk' Off' a Staff Initials CONCLUDED & RESIGNATION LETTERS Term Expired Letter IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK Initials Scan o ✓ City Code Ordinance Section applicable to the agency, board or committee Date Processed ✓ City Code Sections 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459 C\j ✓ County Code Section 2-11.1 — Conflict of Interest and Code of Ethics Ordinance (as Initials Scan o amended through December 2010) ✓ S Amendments to the Code of Ethics Ordinance (September 2009 through July 2012) ✓ Highlights of the Miami -Dade County Ethics Code of r ✓ 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 Scan o o Source of Income Statement Scan o o Acknowledgment of Financial Disclosure Requirement O DIVERSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for Annual Report. Received on: Z Signed by X AIA �i Date card Committee Member Processed on: 1,2_0�” i By Employee: DateIty Cjegk's Office St tial Scanned on: 1 2 By Employee: I ' Date City Jerk' Off' a Staff Initials CONCLUDED & RESIGNATION LETTERS Term Expired Letter Date Processed Initials Scan o Resignation Letter Date Processed Initials Scan o Removal Letter due to absences Date processed Initials Scan o F:\CLER ARD AND COMM ITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx We ore 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.gov OFFICE OF THE CITY CLERK CityClerk@miamibeachfl.gov Rafael E. Granado, City Clerk Tel: 305.673.741 1, Fax: 305.673.7254 December 03, 2018 Ms. Josephine Manning 1460 Ocean Drive Apt. 408 Miami Beach, Florida 33139 RE: Mayor's Panel on Ocean Drive Dear Ms. Josephine Manning: Congratulations! You have been appointed by Mayor Dan Gelber to the above -referenced Board or Committee, for a term ending: 10/31/2019. 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 Raf el Gran do City Clerk cc: Saul Frances, Parking Director Amy Mehu, 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 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK CityClerk@miamibeachfl.gov Rafael E. Granado, City Clerk Tel: 305.673.7411, Fax: 305.673.7254 Oath of Office Oath of Civility and Acknowledgements TO: Ms. Josephine Manning RE: Mayor's Panel on Ocean Drive 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: 10/31/2019. 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. Mg. Josephine Manning Sworn to and subscribed before me this 3rd day of December, 2018 11,2� 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. M 1 AMI B FAC H DIVERSITY STATISTICS REPORTING s ►J t Name: Board / Committee: Appointment Date: {2 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 0 Female Race/Ethnic Categories What is your race? frican-American/Black GaucasianMihite 0 Asian or Pacific Islander CD Native-American/American Indian ID Other — Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not Spanish, Hispanic, Latino/e. e �,,,, o4 ( , f 07� No N 6 f 7' �' ` Yes Do you consider yourself Physically Disabled? No Yes C:\Users\CEN7FraN\Ape,Data\Local',Microsoit\bvindov:s\7emocrar lnternet Fi!es\Content.out!ook\NP^J9CN,C,3C 1,inoriN information form 05-20-13 FINAL.doc Updated: NAonday, Janua:,,1 2E. 2015