Liliana Martinez 12/31/21À 4
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APPOINTEE:
BOARD/COMMITTEE:
FOR SCANNER
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BO A R D A N D C OM M ITTE E C H EC K LIST .
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res No/2/31/2/ rear. /.2/3//27
RECEIVED
JAN 06 2020
FOR CLERK STAFF
o Letter of A ppo intm e nt
o Letter of R eap pointm ent
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• st5f@nu commie= Ate=ton cortetea n_// -_/22,
o R ésum é/C urriculum V itae • ' ·
o Di v ersi ty S tatistics R ep or tin g (C om ple ted on L t
o O ath ' '
Com mi ttee Li aison on
IM P O R T AN T IN F O R M A TI O N FO R B O A RD AN D CO M MI TT EE M EM BER S BO O K
✓C ity C ode O rdinance S ectio n applica ble to the agency, board or com m ittee
✓C ity C o de S ections 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-4 58 and 2-4 59
✓C ounty C ode S ection 2-11.1 - C on flic t of Interest and Code of Eth ics O rdinance (as
am e nde d through D ecem ber 20 1 O)
✓A m e ndm e nts to the C ode of Ethics O rdinance (S eptem ber 2009 thro ugh July 2012)
Hi g hligh t s of the M ia m i-D ade Co unty E thics Code
✓S unshine Law and Pub lic R e cor d s - Fre quently A sked Q uestions
✓M em orand um - Solicitation by C ity Board and Com m ittee M em bers CITY OF MIAMI BEACH
OF FI C E OF THE CI TY CLERK
O Ci tywi de Permi t Application (P ar king Department Form)
S c a n O
S c a n O
R e ce iv ed on :
o B ookl et - G ui d e to S unshine Am en dm en t & Code of Ethics fo r Public O ffi cers and Em ployees
o S ource of Incom e S tatem ent
o A cknow ledgm e nt of Financial D iscl osure R equirem ent
O D IV E R SI TY S TA TI S TI C S R E P OR T
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CONCLUDED & RESIGNATION LETTERS
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R e si gn at ion Let t er D ate Pro cessed Initials Scan o
R e m o val Le tt er due to ab s en ces D ate pro cessed Initials Scan O
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F:ICLERBOARD AND COMMIT TIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
We cre committed to providing excellent public service and safely to cli who live, work, and icy in our vibrant, tropical historic community.
M IA M I BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 331 39 www miomibeachfl gov
OF FICE OF THE CITY CLERK, Rafael E. Granada, City Clerk
Tel: 305.673.7411, Fax. 305.673.72 54
Email: CityClerk@miamibeachfl.gov
January 06, 2020
Ms. Liliana Martinez
1225 Marseilles Drive #21
Miami Beach, Florida 33141
RE: Hispanic Affairs Committee
Dear Ms. Liliana Martinez:
Congratulations! You have been appointed by Commissioner Ricky Arriola to the above-referenced
Board or Committee, for a term ending: 12/31/2021.
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.
e/
- City Clerk
cc: Saul Frances, Parking Director
Leonor Hernandez, City Liaison
4
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.
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miomi Beach, Florido 33139 www .miomibeochfl gov
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.7411, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Liliana Martinez
RE: Hispanic Affairs 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: 12/31/2021.
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 1st, following the closing
of the calendar year on which I have served.
Ms. Liliana Marti
Sworn to and subscribed before me this
@
*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 A MIBEA CH
City of Miami Beach
l 700 Convention Center Drive
Miomi Beach, Florida 33139
www_migmibegchh],_go
CITY CLERK'S OFFICE
Telephone: 305.673.7411 Fax: 305.673.7254
Cit/Clerk@miamibeachfl.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)
«oo. Lla Mhi?7LÉ_
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.
Signature
\
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Date
Updated: Thursday, December 28, 2017
Page 4 of 4
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
MIAMl·DAD. EI SOURCE OF INCOME STATEMENT
Section 2-11.1(i) of the County Ethics Code requires that certain em ployees 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 :1- Fl Name Middle Name/Initial
2019 MA z «LIA)A
Maili ng Address - Street Number, Street Nam e, r P.O. Box
225 HAesele > px V
City, State, Zip + el =l. _A -- J v
If your hom e addre ss is your m ailing address, and your hom e addre ss is exem pt fro m public records pursuant to Fla. Stat. $119.07, read
instructions on the follow ing page and check here. D
[] Municipal:
Departm ent
Position or Title Employee ID Number
W ork address
[] county ~ni cip al:
Board where serving
o
4/Aes
(Municipality)
Ct+tee
W ork telephone Term/;
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 ln descending order, with the largest source first. Examples of sources of income include: compensation for services, income from business, gains from
pro perty dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. Also, include any source of income received by another
person for your benefit. However, the incom e of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here.O
Nam e of Source of Incom e Addre ss Description of the Principal Business Activity
5c2tal coil, A 1 O ,
r
I hereb y sw ear (or affirm ) that th e inf orm ation ap ye is a tr ue an d correct st atem en t. J oa /!h .
1G- 20
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
O Hardcopy REC EIVED
] El ectron ic Copy
JAN 06 2020
CI TY OF MIAM I BEACH
OFFICE Or "AF CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initi al s:Scan ned Date/Initials: _
138_SP-14 COE 2016
M A1 A,AA4/E ACH //r. [V li),\.4 i
Name:
DIVERSITY STATISTICS REPORTING
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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: Mated emaZN
Race/E thnic Categories
What is your race?
IAfican-American/lack
?caucastan/white
O Asian or Pacific Islander
@ae-Ameran/American.
O. . -~A \e_, Other-Print Race: >_[
Do you consider yourself to be Span ish, Hispanic or Latino/a? Mark the "No" box if not
Spanish, Hispanic, Latino/a.
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gves
Do you consider yourself Physically Disabled?
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information farm O5-20-13 FINAL.dOc
Updated: Monday, January 23.2015