LIliam Lopez 12/31/21M IA M I BEACH
BOARD AND COMMITTEE CHECKLIST
APPonrEe.. _LL41_Lop2_ A r or AronnuNr. ],_)/1_/q
7 ]
oARDIcoM MrrTEE: Í D Co so£o Aoitea y. (_o1__./culo)
roerse "/o<v [)/3/// [2/3/l3
o Letter of Appointment TERMEND: TERM LIMIT: J'- [
o Letter of Reappointment
o ¡¡¡¡.p f/'ii,,' of Appointment/Reappointm ent e-m aile¿ to Com mitte e Liaiso n on
• ara aná é6mi#tee Aopicaton (cometea o. /2[31/7,
- si@@rivivi: f///902 0
o Diversity Statistics Reporting (Completed on [_ _)/d
o O at h • '
FOR SCANNER
Scan o
Scan o
Scan o
Scan o
Scan o
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
RECEIVED ✓County Code Section 2-11.1 - Conflict of Interest and Code of Ethics Ordinance (as
amended through December 2010)
JAN 1 0 2020 Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)
✓Highlights of the Miami-Dade County Ethics Code
✓Sunshine Law and Public Records - Frequently Asked Questions
CITY OF MIAM I BEACH ✓Memorandum - Solicitation by City Board and Committee Members
O FF I CE r +F CI TY CL ER K
o Citywide Permit Application (Parking Department Form)
o Booklet - Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
Scan o
Scan o
Received on:
Processed on:
Scanned on:
o Source of Income Statement
o Acknowledgment of Financial Disclosure Requirement
o DIVERSITY STATISTICS REPORTI -
/-/]]seres»?Ly4"F l >
Date
(-/0-D 2ôZO By Employee: cfJ ,_. _ '>,~- -- _ _l_ _ ! _ l /
ate
[-(_O_--_~--· y Employee: ___,...,,.__ _
Date o o o o
C ONCLU DED & RESIG NA TION 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\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
We are committed to providing excellent public service and safely to all who live, work, and play in our vibrant, tropical, historic community.
M /A M BE IV ! V I c
City o f M ia m i B e ach , 1700 Convention Center Drive, Miami Beach, Florido 33139 4www_miamibeachfl_gov
OF FIC E O F TH E C ITY C LERK , Rafa el E. G ra nado , City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: Ci #/Cl er k@ mi a m ib each fl .g ov
December 03, 2019
Ms. Liliam Lopez
4200 Alton Road
Miami Beach, FL 33140
RE : Miam i Bea ch Comm ission For W om en
Dear Ms. Liliam Lopez:
Congratulations! You have been appointed by Commissioner Micky Steinberg 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.
Regards,1.
7/ /J
tJ Rafael Granado
City Clerk .
cc: Saul Frances, Parking Director
Tathiane Trofino, 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 are co m m itt ed to p rovid ing excellen t p u blic service and safety to all who live, w ork and play in our vibrant, tropical, historic com m unity
M IAM I BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florido 3313 yywNy_mniamibeachf!gov
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.7411, Fax: 305.673.7254
Email: CiiyClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Liliam Lopez
RE: Miami Beach Commission For Women
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.
'57- , f
Sworn to and subscribed before me this t' day of //t/2a$ Doc
I \ I \
%
*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 AMI BEACH
City of Miami Bea ch
1700 Convention Center Drive
Miami Beach, Florida 33139
wwwmigmibegchf]_go
CITY CLERK'S OFFICE
Telephone: 305. 673 .7411 Fax: 305. 673.7254
Ci#yClerk@miamibeachfl.gov
Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami-
Dade County Financial Disclosure Code Provision Code Secti on 2-11.1(i) (2)
araw-em-rs Name. y_lat_ lop2 ...
I un d e rsta n d tha t no la ter than July 1. of each year all members of Boards and Committees of the City of
M ia m i B e a c h , in c lu d in g tho se 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 form s must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive,
M ia m i B e a c h , F lo rid a , no la te r tha n 12 :0 0 no o n of July 1, of each year.
1. A "S o u rce of In co m e S ta te m e nt"
2. A "S tate m e nt of F in a n cia l In te re sts (For m 1)"
3 . A C o p y of yo u r la te st F e d e ra l In c o m e T a x R etu rn
F a ilu re to file o ne of the se fo rm s, 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.
d
Date
Updated: Thursday, December 28, 2017
Page 4 of 4
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
MIAMl·DAD E- EEL 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 for Tax Year Ending
2018
Lasz:Ó e y-
"Y939%-pw rd
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. D
Filing as an Employee (check one}
[] county □Public Health Trust [] Municipal:
(Municipality)
Department
Position or Title Employee ID Number
Work address I Work telephone Employment began on/ended on
Filing as a Board ember (check one)
] county #f nono /lari lch
(Municipality)
Board where serving
pm1 OO o
Alternate address (if home address is exempt) Work telephone Term began on/ended on
\/o/202o
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
person for your benefit. However, the income of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here.[]
Name of Source of Income Address Description of the Principal Business Activity
SF#d @ se23.9 eo Ko ,MdYO
I hereby swear (or affirm) that the information above is a true and correct statement.
Sig
Date signed
asas r a9e,77E%y □Hardcopy
J Electronic G%Pk 1 0 202g
CITY OF MIAM I BEACH
OFFICE O THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency. Processed Date/Initials: Scanned Date/initials:
138_SP-14 COE 2016
M IA. J\ A I f"rÂ. ri 1
a IV\lb t,sit
DIVERSITY STATISTICS REPORTING
oree rl a 9p e z
}[ (os3.o
erect-neons. 12/_2/_/7
• i
B o a rd / C o m m ittee: 2 rev
Pursuant to City oí 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.
P leas e check the appropriate bo x for each category:
Gender: Male O Female
R a c e /Eth n ic C ategor ies
What is your race?
~
'.rican-American/Black
aucasian/hite
sian or Pacific Islander
[?Native-American/American Indian
[j t her- Print ace.
Do you consider yourself to be Spanish, Hispan ic or Latino/a? M ark th e "N o" box if not
Spa n ish, Hispanic, Latino/a.
3e 5fe
o y94consider yourself Ph ysi ca lly Disabled?
25 so
ves
C:\Users\CENT=NAppataloca!Microsoft\WindcwsiTsmoaray interne: Files'Ccntet.Out!oo\NP4JSCNXC micriy
information farm O5-20-13 FINAL.dc
Updated: Mon day, January 25. 2015