Dana Turken 12/31/20 MIAMI BEACH
BOARD AND COMMITTEE CHECKLIST .
�� 774APPOINTEE: A- r I( P DATE OF APPOINTMENT: i 3// (/ 3
BOARD/COMMITTEE: /iiNJ ( We,(71? -e Appointed by: d?/U . ,s-/eivbeij
FOR SCANNER FOR CLERK STAFF C0/1/144c He / l`, /
Scan o o Letter of Appointment TERM END: /wl-- (3 /0 TERM LIMIT:/�-73//d 7
Scan o o Letter of Rea pointment
o o y�of ter A Appointment/Reappointment e-mailed to Committee Liaison on
Scan o o Board and Committee Application (Completed on / �3 ( 4)-00)-0
Scan o o Resume/Curriculum Vitae b-ec, (/o Diversity Statistics Reporting (Completed on / o)
Scan o o Oath
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
✓ County Code Section 2-11.1 — Conflict of Interest and Code of Ethics Ordinance (as
RECEIVED amended through December 2010)
✓ Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)
FEB -4 2020
.7 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 n r THE CITY CLERK 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 REPO TING Keep COPY in file and ORIGINAL for Annual Report.
Received on: // 7 Signed by
Date Boa • or ommitte- - .ber
Processed on: 2 - LI( ` -d()-0 By Employee:
Date C - . lc= a Initi, s
Scanned on: D _ �� /By Employee:
�
Date City ler s Office Staff!nit scanned
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.docx
We are committed to providing excellent public service and safely to all who live, work, and play in our vibrant, tropical historic community.
MIAMI BEACH
City of Miami Beach, 1 700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachff.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 31, 2020
Ms. Dana Turken
#108, 4th Dilido Terrace
Miami Beach, Florida 33139
RE: Animal Welfare Committee
Dear Ms. Dana Turken:
Congratulations!You have been appointed by Commissioner Micky Steinberg 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.
Regards,
Ra el Granado
City Clerk
cc: Saul Frances, Parking Director
Elias Gonzalez, 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 arBosi a11eoamIRkaf 'arc; urnoshiggic tntes fapiab @ode)m.f6hfraitsikerpRiabikaicerarap cl9 a ec8&nunity.
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 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
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Dana Turken
RE: Animal Welfare 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: 12/31/2020.
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 s-rve) on July 1st, following the closing
of the calendar year on which I have served.
ftly /,
Ms. Dana Turken
Sworn to and subscribed before me this I day off"v 2020
C arl: •'Agostin
- •uty Clerk
*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 Dis losure Code Provision Code Section 2-11.1(1) (2)
Board Member's Name: /4-� 7 U(2.
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.
41
Signature Date
Updated:Thursday,December 28,2017
Page 4of4
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ADE
COUNTY SOURCE OF INCOME STATEMENT
COUNTY
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 Last Name Firs ame Middle Name/Initial
2019 / u p c_GA , ixi
Mailing Address–Street Number,Stree Name,or P.O.Box
/ o a .74`°--.2-L -A , e_. 0:3 /cf./LA_ cl? i .e) . 7/--Z__ .3 ,3(sy
City,State,Zip 3< S
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.❑
Filing as an Employee (check one)
0 County lic Health Trust ® Municipal:
(Municipalit
Department
Position or Title Employee ID Number
Work address Work telephone Employ • .•'an on/ended on
Filing as a Board Member(check one) /�
County Mu ( 1IL1
nicipal: 07.6 ` a /` 75e4 C4
(Municipality)
Board where serving A/Iii:AA4_( �e / / 0,0/wilc t7Le
Alternate address(if home address is exempt) Work telephone Term beg on/ended on
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
61 46–S Jill', e— ArliAl 4
I h reby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIIWS
UFLOIVED
❑ Hardcopy
(0 Electronic CoRR
—Si nature of Person Disclosing a E
CITY (UF (/il�1MI BEACH
ti
OFFICE OF THE CITY CLERK
!
Da �U
`7 signed
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138 SP-14 COE 2016