Antonio Maldanado 12/31/20 B E AC ,
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: //47)-(-0 / O l I/ I4I(/ A-Ahtd o DATE OF APPOINTMENT: 0' / /i '
BOARD/COMMITTEE: M vV 1t Appointed by: 6)4441< </ ON��'f d/,J
FOR SCANNER ' • FOR CLERK STAFF �/
Scan o o Letter of Appointment TERM END: 10---/-3/bo ERM LIMIT: I"
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Scan o o Letter of Reappointment
opy _of Letter of Appointment/Reappointment e-mailed to Committee Liaison on
Scan o o Board and Committee Application (Completed on j )
Scan o o Resume/Curriculum Vitae 1 / /`l/ )
o Diversity Statistics Reporting (Completed on l `
Scan.o o Oath
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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
Lea i amended through December 2010)
_ ' ✓ Amendments to the Code of Ethics Ordinance(September 2009 through July 2012)
c" ` ` - ✓ Highlights of the Miami-Dade County Ethics Code
- .-1-..,....-
-,. ,/ Sunshine Law and Public Records—Frequently Asked Questions
M.. . l•t ,/ Memorandum-Solicitation by City Board and Committee Members
>-• 0 Citywide Permit Application (Parkin. Department Form) •
Q, _: 0 Booklet—Guide to Sunshi e A - d ent&.Code of Ethics for Public Officers and Employees
Scan o r• 0 Source of Income Statem- t
Scan 0 0 Acknowledgment of Financi- Dist Id „irement
j O Ily_ ERSI�T~�tS A411::7-.77.7E7-:-.•,
I REP T _ KeeryG.0 P'P"fin fiile ands INAL f iCkrir a417Report
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Date / Bo.;r /.r ... • -- . •ber
Processed on: By Employee: Staff Initials
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MIAMI BEACH
-City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael E. Granado,City Clerk
Tel: 305.673,7411, Fax: 305:673.7254
Email: CityClerk@miamibeachfl.gov
ti
February 22, 2019
Mr.Antonio Maldonado
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1110 Venitian Cswy 26
Miami Beach; Florida 33130
SUBJECT: Marine and Waterfront Protection Authority
Congratulations!You have been reappointed by Commissioner Michael Gongora to the above •
referenced, board or committee named above,for term ending: 12/31/2020.
Pursuant to City ofMiami 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.
Regards,
Rafa I Grana o
City Clerk - •
cc: Saul Frances, Parking.Director
Rianne Thomas, City Liaison
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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.
•
MIAM'IBEACH
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.Antonio Maldonado
RE: Marine and Waterfront Protection Authority
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: 12/31/2020.
To my Colleagues and to allof 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 Co. - - :,- (Conflict of Interest and
Code of Ethics Ordinance), as well as Florida Commission on Ethi' -.:a to t'aS u h n- endment
and Code of Ethics for Public Officers and understand that as - 'em•er of a Cit of Miami Bea'h Board
and/or Committee, I must comply with the financial disclosur• re• ire ents;of Mia i-Dade Coun , or the
State of Florida (depending on the board or committee on. hich I sere pri.'uly-h-t fallowing-th,closing
of the calendar year on which I have served.
M .Antonio Maldonado
Sworn to and subscribed before m: this day of 2019
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*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.
MI WI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
CITY CLERK'S OFFICE CiiyClerk@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: AM"d4-Al kc O
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 C•• of your latest Federal Income Tax Return
Failu jto fit= one o ese forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
of not ore the $500, 60 days in jail or both.
1 1714 Date
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Updated:Thursday,December 28,2017
Page 4 of 4
F:\CLER\$ALL1aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
MIAM4IDADE SOURCE OF INCOME STATEMENT
COUNTY
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
st Name Middle Name/Initial
2018 `A�! . /�r` h7 ‘�
9
Mailin Address-Street Number, treet Name,or .Box
\ ‘ \j R._ `-----ti 1.A „
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City,State,Zip . c.- 4N .
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If your home address is your mailing address,and your home address is exempt from public records pursuant o Fla.Stat.§119.07,read
instructions on the following page and check here.0
Filing as an Employee(check one) •
0 Co 0 Public Health Trust 0 Municipal: (Municipality)
Department
Employee ID Number
Position or Title
Work telephone Employment began on/ended on
Work address
Filing as a Board remember(check one)
Municipal: / ;1d ° G L
County (Municipality)
Board where serving AA , P"i
�(,/ Work telephone Term beg
a on/ended on
Alternate address(if home address is exempt) ��v20/ /
incomeude
our
ublic
.Place
sources of
ct beloved dessource of income cending order,with the largest sourcenirst.Examplewith the s of sourrcesess and eof iincomeal includ:compensation for of each source. (services,income from business,gains from
in es g IRA
another
ernproperty dealings,nefit.However,the incomedof your spouse or any business partner need security
tpbe disclosed.Iments. f continued ee d on source separate sheet,ch check ved here.❑
person yourDescription of the Principal Business Activity
Name of Source of Income , Address r-----7
' — t /(�/I \D1)-- .4\i' i\
- ./7- '\JRA-. qi\d—/a--A.A4-"-.,
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I herebi v' e, i affirm)that e informati l• ••lye is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
Hardcopy RECEIVED
❑Electronic Copy
MAY -1 2019
Sign. re of Person is closing
• WY r)F MIAMI BEACH
l Z0 k1 OFF1C,
Date signed
OFFICE USE ONLY Accepted: Y/ N Deficiency:
Processed Date/Initials: Scanned Date/Initials:
138 SP-14 COE 2016
M1AM B
DIVERSITY STATISTICS REPORTING
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Name: .... . .411. 1-b/✓l 0. A4,-/,,,t4-A,Ado
Board / Committee: m ` " / 1
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Appointment Date: i9--- . C / 7
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
Race/Ethnic Categories
What is your race?
0 African-American/Black
0 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.
\ E1 No .
Yes
Do you consider yourself Physically Disabled?
No
O Yes I
.
C:\Users\CENTFraN' ppData\Local\Microsoft\Windows\Ternoorary Internet Files\Content.Outlook\NP4J9CN BC rninoriiy
information form 05-20-13 FINAL.doc
Updated: Monday,January 26,2015