Carmen Datorre 12/31/20\ ;i J ?, ~\ A ï B r-:" A ,,r...,. j i
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O A R D A N D CO M M ITTEE C H EC K LIST
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s c a n s ·teterotApoitment TERM No.L?/3/'J] rRMLur:/A///2/
S c a n o o Letter of Reappointment
0 t1y/~f {~Appointment/Reappointment e-mailed to Committee Liaison on
Gr@a@ Committee Application (completeao_/_, /3/ )9
o Résumé/Curriculum Vitae /
o Diversity Statistics Repor ting (Completed on u ,_9O
o Oath S c a n o
RECEIVED
JAN 1 4 2020
IM P OR T AN T IN F O R M A TI O N FO R B O AR D AND C O M MI TT E E M E M B ER S B O O K
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 201 O)
✓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
✓Memorandum - Solicitation by City Board and Committee Members CITY OF MIAMI BEACH
OFFICE r TF CITY CLERK
Citywide Permit Application (Parking Department Form)
o Booklet - Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
S c a n O
S c a n O
Processed on:
Scanned on:
o Source of Income Statement
O Acknowledgment of Financial Disclose R equirem en t
-- O DIVERSITY STATISTICS REPORTING kee COPY in fle and ORIGI
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( v- /Date
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CONCLUDED & RESIGNATION LETTERS
Term Expired Letter Date Processed Initials S c a n o
Resignation Letter Date Processed Initials S can o
Removal Letter due to absences Date processed Initials Sca n o
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F:ICLERBOARD AND COMMIT TIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
We are committed to providing excellent public serics and scteiy to cl/ who live, work, and lay in our vibrant, trooicai historic community.
.A44/BEACH I ,} " \ ¡ i t t
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: CityC lerk@miamibeachfl.gov
January 13, 2020
Ms. Carmen Datorre
5841 Lagorce Drive
Miami Beach, Florida 33140
RE: Miami Beach Commission For Women
Dear Ms. Carmen Datorre:
Congratulations! You have been appointed by Commissioner Mark Samuelian to the above-referenced
Board or Committee, for a term ending: 12/31/2020.
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.
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)
We arBooklated@Gtudiogecetnspie. Aeree dmasatayd Sode. poíeEtisío EyllguOííiat,sr8dEmspl@yes@smunity.
M IA M I BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33 l 39 www .miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.7411, Fox: 305.673.7254
Email: City/Cl erk@m iamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Carmen Datorre
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: 12/31/2020.
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 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. / /
/o
Sworn to and subscribed before me this ~o/
*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.
M IA M l·DAD E]I EI SOURCE OF INCOME STATEMENT
Section 2-11.1(@) of the County Ethics Code requires that certain em ployees and public offi cials file a financial disclosure Statem ent on a yearly basis by July 1st
of every year.
Disclosure for Tax Year Ending I Last Name 4%° • Middle Name/Initial
2019 [o2»@0e . rt ?
Mailing Address - Street Number, Street Name, or P.O. Box
59 (@ a d x
,"a»to
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. O
[] Municipal:
Department
Position or Title Em ployee ID Num ber
W ork address Em ploym ent began on/ended on
[] County ){í ontcot a 1
Board w here serving 8 ors5iov y
A ltern ate addre ss (if hom e addre ss is exem pt) W ork telephone Term b,m a11 on/ende~
Li st below every source of incom e you received, along with the address and the principal activity of each source. Include your public salary. Place the sources of
incom e in descending order, w ith the largest source fir st. Exam ples of sources of incom e include: com pensation for services, incom e fro m business, gains fro m
propert y dealings, interest, re nts, dividends, pensions, IRA distributions, and social security paym ents. Also, include any source of incom e received by another
person for your benefit. How ever, the incom e of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here.O
Name of Source of Income Address Description of the Principal Business Activity
@l / -
4)o 1l
í-A' BA , Rt je ta
n#ere6y s ear tor atrm» that th e itor I I
i
/ /Sisnature dr Perso, pssosis
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( Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
areoPECEIVED
D Electronic Copy
JAN 1 4 2020
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
O FF I C E U S E O N LY Accepted: Y / N Deficiency. Processed Date/initials: Scanned Date/initials:
138_SP-14 COE 2016
MI A MIBE A CH
City of Miami Beach
1 700 Convention Center Drive
Miami Beach, Florida 33139
www _miamibegchh]_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 ode Provision Code Section 2-11.1(1) (2)
«o.. I9É _EU BA0e
I understand that no later than July 1__of each_year ail 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 Federai 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.
.-
' / o0 (
Date
Updated: Thursday, Dece mber 28, 2017
Page 4 of 4
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx
AA [/A,AMIDE LI IV \u. IV\lbt,«(t
DIVERSITY STATISTICS REPORTING
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Board/ Committee: o 'sS o Uac
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[l Female
Race/Ethnic Categories
What is your race?
_3rican-American/lack
caucasianNwhite
O Asian or Pacific Islander
[!Native-American/American Indian
Lh Other- Print ace.
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not
Spanish, Hispanic, Latino/a.
2y
„/Yes ;;;:u consider yourself Physically Disabled?
L!INo
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C:AU'ss:siCNTraN'Apata\loca!Microsoft/Windows\Tamooray internet iles'Content.Ouloo\NP4J9CNXC mincriy
information form O5-20-13 FINAL.dc
Updated: Monday, January 23, 2015