Susan Askew 12/31/21. ' l ' ' ' ' BF.-, ... = ). . ~ " i
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APPOINTEE:
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FOR SCANNER
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BOARD AN D COMMITTEE CHECKLIST,/, )
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re#su eno/2/1/2/ ru an. //3/097 FOR CLERK STAFF
o Letter of Appointment
o Letter oi Reappoi ntm ent · 99)1 5$%5%sm r ev -sos r ent
o Board and Comm i tt ee Ap plication (Completed on
o Résum é/Curriculum Vi tae
o Di v ersi ty Statistics Repo rting (Comp leted on
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CI TY O F MI AM I BE A CH ✓
OFFICE OF THE CITY CLERK
IM PO RT AN T IN FO R MATI O N FO R B OARD AN D COM MI TTE E M EM BER S BO O K
✓City Code O rdinance Section applica ble to the agency, board or committee
City Code Section s 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 oi Ethics Ordinance (as
am ended through Decem ber 2010)
Am endm ents to the Code of Ethics O rdinance (September 2009 thro ugh July 2012)
Highlights of the Miam i-Dade County Ethics Code
Sunshine Law and Public Records - Frequently Asked Questions
Me m oran dum - Sol icitation by City Board and Committee Members
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Citywide Permit Application (Par king Department Form)
o oklet - Guide to Sunsh in e Am en dmen t & Code of Ethics for Public Officers an d Employees
>Source of Incom e Statem en t
R eceived on:
Pro cessed on:
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O Ackn owledgmen t of Financi al Discl osure Requirem en t
g DIV ER SITY STATI STI CS REPORTING
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G' FICLERBOARD AND COMMIT TIES DATABASE\CHECKLIST MASTERB&C Checklist 2015 MASTER.doc
We are committed to providing excellent public service and safely to ali who live, work and icy in our vibrant, tropical historic ccommunity.
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www .miamibeachfl.gov
O FFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.7 411, Fax: 305.673.7 254
Email: Ci#Cl erk@ miamibeachfl.gov
January 02, 2020
Ms. Susan Askew
11 Island Ave, #611
Miami Beach, FL 33139
RE: Production Industry Council
Dear Ms. Susan Askew:
Congratulations! You have been appointed by Commissioner David Richardson to the above-
referenced Board or Committee, for a term ending: 12 /31/202 1.
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. 7 411.
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.
"i
Rafael Granado
City Clerk
cc: Saul Frances, Parking Director
Veronica Hennig, 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 arê committed o providing èxcêllenf püblic service and safety to all who live, work and play in our vibrant, tropical, historic' community.
MIAM I BEACH
City of Miami Beach, 1700 Convention Center Drive, Mi ami Beach, Florido 33139 4wwwwy_miamibeachfl.go
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.7411, Fax: 305.673.7254
Ema il: CityClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Susan Askew
RE: Production Industry Council
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. Susan Askew
Sworn to and subscribed before me this,,', 3%a
*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 MIBE A CH
City of Miami Beach
l 700 Convention Center Drive
Miami Beach, Florida 33139
www_miamibeach[],_gov
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)
so»rawer»rs om... __AA Asker
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.
Á e-----
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Updated: Th ursday, Dece mber 28, 2017
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F:\CLER\$ALL\aFORMS\80ARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
MIAMI-DAD. EI SOURCE OF INCOME STATEMENT
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 fo r Tax Year Ending
2019 leu Fi rst Nam e uan
Middle Name/Initial
]
Maili ng Address - Street Number, Street Nam e, or P.O. Box
l 14aw A t +@ y
City, State, Zip Í
a«í ,eel ( 33 /
If your hom e address is your mailing address, and your hom e address is exempt from public records pursuant to Fla. Stat. $119.07, read
instructions on the following page and check here. D
[] Municipal:
Departm ent
Position or Title Em ployee ID Num ber
W ork address Employment began on/ended on
[] County 52í0iota CA+ o NA-
(Municipality)
Board where serving cho-u Dalo o, (
Altern ate address (if hom e address is exem pt) W ork teleph on e /ended on
O0o
List below every source of incom e you received, along with the addre ss and the principal activity oí each source. Include your public salary. Place the sources of
income in descending order, with the largest source first. Examples oí sources of income include: compensation for services, income from business, gains from
pro perty dealings, intere st, 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
<eaa e [e/k it l a ¢ k# sietr ye8 %o- t rile.
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I hereby swéjr (or affir m } that the info rmation above is a true and correct statement.
ignat ure of Pers on Disclosing
//u zo
Date signed
co ve sY RO PE[re
Hardcopy
E ectronis,Py0 7 2020
CITY OF MIAM I BEA CH
OFFICE +F CITY CL ER K
O FF I C E US E ON LY Accepted: Y / N Deficiency. Processed Date/initials: Scanned Date/initials:.
138_SP-14 CO 2016
MAIA,AM/RF ACH /\/a. I?-,i\/4 i
DIVERSITY STATISTICS REPORTING
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Board I Committee:
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 comm ittee 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 g
Race/E thnic Categories
W hat is your race?
!5#c an-Am erican/slack
caucasianNwhite
D Asian or Pacific Islander
[¿Native-American/American Indian
Li ther- Print ace.
Do you consider yourself to be Spanish, Hispa nic or Latino/a? Mark the "No" box if not 2 Hispanic, Latino/a.
lves
Do you,c onsider yourself Physically Disabled?
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information far 05-20-13 FINAL.dc
Updated: Monday, January 28.2015