Jack Glottman 12/31/21 MIAMI BEACH
BOARD AND COMMITTEE CHECKLIST .
APPOINTEE: _X4C1c £L-O —7,44NA) DATE OF APPOINTMENT: Of-/ 7.- 2°2 a
BOARD/COMMITTEE: 0- 6aid OvCsS f/ ,4 Appointed by: C C,,..74/,'s%,`o4
FOR SCANNER FOR CLERK STAFF
Scan o o Letter of Appointment TERM END: Ph//c71/ TERM LIMIT: /-/3//6
Scan o o Letter of Reappointment
o C..y o Lett-r of Appointment/Reappointment --mailed to Committee Liaison on
Scan o o B.-rd and -ommittee Application (Completed o
Scan o o Resume/Curriculum Vitae '
o Diversity Statistics Reporting (Completed on 1
Scan o o Oath
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
���Q ✓ City Code Ordinance Section applicable to the agency, board or committee
ons 2-21, 2-22,
-23,
2-459
� G 0�� ✓ County Cod/ City Code e Section 2-11.1 -Conflict 4of Interest, 2-25, 6and Code, 2-458 d of Ethics Ordinance (as
N 1% amended through December 2010)
�P ��EPEAK ✓ Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)
M\Ip,M�-c.(C V Highlights of the Miami-Dade County Ethics Code
`,� Ooh-1N� ✓ Sunshine Law and Public Records-Frequently Asked Questions
GOFF�GE ✓ Memorandum - Solicitation by City Board and Committee Members
o Citywide Permit Application (Parking Department Form)
o Booklet-Guide to Sunshine Amendment& Code of Ethics for Public Officers and Employees
Scan 0 o Source of Income Statement
Scan 0 0 Acknowledgment of Financial Disclosure Requirement
o DIVERSITY STATISTICS REPORTI. i . .S P' '. file and ORIGINAL for Annual Report.
Received on: )(1-3,40 '20 Signed by X %4W
Date :.fir. or C. mittee Member
Processed on: d( ` /3- 20r ° By Employee: _ c__ --
Datervjfve s O•ice Staff Initials
Scanned on: I — (-)-(i )0d1q3y Employee: Ali 411.111PF
Date 47-y C -r ' Office Staff Initials
CONCLUDED & RESIGNATION LETTERS
Term Expired Letter Date Processed Initials Scan 0
Resignation Letter Date Processed Initials Scan 0
Removal Letter due to absences Date processed Initials Scan 0
F:\CLER\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.dacx
Ne are committed to providing excellent public service and safety to all who live. work. and play in our vibront, tropical historic commu,rc
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 331 39 www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael E.Granado, City Clerk
Tel: 305.673.741 1, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
January 17, 2020
Mr. Jack Glottmann
560 Lakeview Drive
Miami Beach, United States 33140
SUBJECT: General Obligation (G.O.) Bond Oversight Committee
Dear Mr. Jack Glottmann:
Congratulations!You have been reappointed by the City Commission to the above referenced board or
committee, for a term ending: 12/31/2021.
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.
Respectf ly,
Raf elanado
Cit Clerk
cc: Saul Frances, Parking Director
Maria Hernandez, City Liaison
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.
MIAMI BEACH
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: 305.673.741 1, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Jack Glottmann
RE: General Obligation (G.O.) Bond Oversight 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.
e_//_,i/
fr. `a 4"Glottmann
Sworn to and subscribed before me this L5 e ��' .( 2020
,....>
/ Deputy Clerk - 4-307-,
*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.
• •
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
CITY CLERK'S OFFICE CityClerk@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: j;le—
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.
`ji
/mil���'� 7/2z/z0,2zO
Signat Date
Updated:Thursday,December 28,2017
Page 4 of 4
F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx