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Jack Finglass 12/31/21!\ A 41 1 7\ ± + [\ jA { à¥ à 7 35 Y 1 B r.;.o ( .. ;;r=.. ., ¡ }- [( '}4 L./,1 i BOARD AND COMMITTEE CHECKLIST APPOINTEE: JN FU4 s DATE OF APPOINTMENT: _2/3/0 BOARDICOMMITTEE: [}[ey Pl£$2y17Q1) Appointed by. __TAoyMA s_gt oscas roeeksros E]; /2/3//2/ Scan o o Letter of Appointment TERM END: [Z[[ [_ TERM LIMIT:. la l Scan o o Letter of Reappointm en t o C~~ ~intment/Reappointment e-m ailed td Committee Liaison on o Bdard and Committee Application (Com pleted on Li LL i ) ·e»erra v i „2/3/202o o Diversity Statistics Repor ting (Com pleted ol - ' U o Oath · Scan o Scan o Scan o ✓ / ✓ ✓ s À ✓ ✓ Scan O Scan O IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK / City Code Ordinance Section applicab le to the agen cy, board or com mittee 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 an d Code oi Ethics Ordinance (as amended through Decem ber 2010) Amendments to the Code of Ethics Ordinance (September 2009 through July 2012) Highlights of the Miami-Dade County Ethics Code Suns hine Law and Public Records - Frequently Aske d Questions Memoran dum - Solicitation by City Board and Committee Members O Citywi de Perm it Ap plication (Parking Dep artm en t Form) o Booklet -- Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees o Source of Income Statement o Acknowledgment of Financial Disclosure Requirement I O 'IVERSlTY STATISTICS REP~"flNG Kt¡,ep COPY in file and ORIGINAL for Annual Report. . 3/3 2NO . Received on: Da~ Signed by. 7 /b(//' = >-«-:'r \/ . . Processed on: ,;) (3 /4---~ 20 By Employee: ~:10.," ~º ...... Scanned on: ~ Ljt]j)__;Jb By Employee:-~'-#--,~--------- Date CONCLUDED & RESIGNATION LETTERS Term Expired letter Date Processed Initials Scan O Resignat ion Letter Date Processed Initials Scan o Removal letter due to absences Date processed "tcevêt cs, ECLERBOARD AND COMMIT TI ES DATABASE\CHECK LIST MASTER&C Checklist 2015 MA STER.dog_P 8 2020 OIT OF MIAMI BEACH OFFICE OF TH GIT CLERK We are committed to providing excellent public service and safey to cll who live, work, and icy in our vibrant, tropical historic community. MI AMIBEACH 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: 305.673.7 411, Fax: 305.673.7254 Email: CiNCl erk@miamibeachfl.gov January 17, 2020 RECEIVED FEB 3 2020 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK Mr. Jack Finglass 6001 North Bay Road Miami Beach, FL 33140 SUBJECT: Historic Preservation Board Dear Mr. Jack Finglass: 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. Respectfully, } RalG,ana,ro I City Clerk cc: Saul Frances, Parking Director Deborah Tackett, 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. M IA M I 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, Fox. 305.673.7254 Email: CityClerk@miamibeachfl.gov Oath of Office Oath of Civility and Acknowledgements RECEIVE D FEB 3 2020 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK TO: Mr. Jack Finglass RE: Historic Preservation Board 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. Sworn to and subscribed before '3.. 2020 *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 1 700 Convention Center Drive Miami Beach, Florida 33139 www._miamibegchhl_goy RECEIVED FEB 3 2020 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK CITY CLERK'S OFFICE Telephone: 305.673.7411 Fax: 305.673.7254 CilyClerk@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) es.aw-rs».-Tak [no,la5> 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 iatest 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. Signat Updated: Thursday, December 28, 2017 Page 4 of 4 F:\CLER\$ALL\aFORMS\SOARD AND COMMITTEES\SC APPLICATION RE VISED 06022014.d0cx MAIA,MA/REAC /Va. [V li?r1\.4 i DIVERSITY STATISTICS REPORTING Name: )A- L- -)A S Board /Committee: HI50C PU NoN Appointment Date: =-- __ 2-,_f ..... ~=..L-, ..;;_U _ 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 Mate,ß enael Race/Ethnic Categories What is your race? [Cl African-Am erican/lack <caucasla wh ie O Asian or Pacific Islander [¿Native-American/Am erican Indian Li th er- Print Race. Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not Spanish, Hispanic, Latino/a. 5me ves Do you consider yourself Physically Disabled? Eie lvee C:Use:sCN T aNV'AppDa ta\loca!Microsoft\Windows\Temoorary interne: ilesContent.Out\o4NP4JCNX?C icrity information farm 05-20-13 FINAL.dc Updated: Monday, January 23, 2015