Marc Gidney 12/31/20MIAMIBEACH
BOARD AND COMMITTEE CHECKLIST
APPOINTEE:C C lc�l✓ DATE OF APPOINTMENT:
BOARD/COMMITTEE: Appointed by: e�ytw 3 s/)�
FOR R CLERK STAFF
Scan o ANNER o®ettter of Appointment TERM END: TERM LIMIT:
Scan o o Letter of Reappointment
o Cp yof L er% of Appointment/Reappointment a-fmailed to Committee Liaison on
Scan o o Board and Committee Application (Completed on
Scan o o Resume/Curriculum Vitae
o Diversity Statistics Reporting (Completed on 3L5� 0
Scan o o Oath
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
CO ✓ 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)
T—" ✓ Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)
_
e =' ' ✓ Highlights of the Miami -Dade County Ethics Code
✓ Sunshine Law and Public Records — Frequently Asked Questions
✓ Memorandum - Solicitation by City Board and Committee Members
a
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 m
o DIVERSITY STATISTICS REPOR ep in file -OR1C�I
Received on: � S� � � Signed by
ate / oaor o it' ember
Processed on: / By Employ
DatO ice St nitials
Scanned on: 3/lm By Employee:
Date CKChr ' ffice aff Initials
scanned
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
u sy
F:\CLER\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
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.gov
OFFICE OF THE CITY CLERK, Rafael E. Granada, City Clerk
Tel: 305.673.741 1, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
February 14, 2019
Mr. Marc Gidney
10101 E. Bay Harbor Dr. # 704
Bay Harbor, Florida 33154
SUBJECT: Budget Advisory Committee
Dear Mr. Marc Gidney:
Congratulations! You have been reappointed by the City Commission to the above referenced board or
committee, for a term ending: 12/31/2020.
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.
Respectfully,
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.
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
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Marc Gidney
RE: Budget Advisory Committee
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: 12/31/2020.
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 t Sunsh' Amendment
and Code of Ethics for Public Officers and understand that as a member of ty of 'a i Beach Board
and/or Committee, I must comply with the financial disclosure* requireme Mia ' e County or th
State of Florida (depending on the board or committee on which I se July t, fo ow, c osing
of the calendar year on which I have served.
Mr. Mhrc Gidney
Sworn to and subs bed/fore me this �L.1day oft K2019
Agostin
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.
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
CITY CLERK'S OFFICE
Telephone: 305.673.7411 Fax: 305.673.7254
CityClerk@miamibeachfi.gov
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
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.
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, pursu t to the Miami -Dade County Code, may subject the person to a fine
of no more than $500, 60 da in jail or oth.
sr
Signatur Date
Updated: Thursday, December 28, 2017
Page 4 of 4
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
MI®' SOURCE OF INCOME STATEMENT
Section 2-11.1(1) 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
2018 /4( ofsz c_
Mailing Address – Street Number, Streg Name, or P.O. Box
City, State, Zip
If your home 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. ❑
Filina as an Emplovee (check one)
o Public Health Trust ® Municipal:
(Municipality)
Department
Position or Title Employee ID Number
Work address
Work telephone Employmen /ended on
Filing as a Board member (check one)
0 County
Municipal:
(Municipality)
Boar where serving
%A�- C -
Alternate address (if home address is exempt) Work telephone 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
nersnn fnr your benefit. However. the income of vour spouse or anv business oartner need not be disclosed. If continued on a separate sheet, check here.❑
Name of Source of Income
Address
Description of the Principal Business Activity
eo w 0�
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hereby swear (off that the
Date signed 7
OFFICE USE ONLY Accepted: Y / N
138 SP -14 COE 2016
above is a true and correct statement.
RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
Processed Date/Initials: Scanned Date/Initials:
M 1 AM I B EACH
DIVERSITY STATISTICS REPORTING
Name:
Board / Committee:
Appointment Date
Pursuant to City of Miami Beach Ordinance 2049-3632, 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 Iff Female 0
Race/Ethnic Categories
What is your race?
Q African- rican/Black
F-11 Ca sian/White
Q ian or Pacific Islander
Native-American/American Indian
Other - Print Race:
Do you consid,prjourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not
Spanish, Hi5p6nic, Latino/a.
ff
es
Do you gdnsider yourself Physically Disabled?
Yes
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information form 05.20-1; FINAL.doc
Updated: Monday, January 25, 2015